APPLICANT FORM FOR ADMISSION
PRE-PRIMARY SECTION
Form no. -178
App. No - G.R.No.
1.
Surname

Name

Fathers name
2. Mothers name
3. Gender
4. Class Seeking Admission to 5. Previous School 6. Date of Birth
7. Place of Birth 8. Taluka 9. District
10. Nationality 11. Religion
12. Blood Group 13. Caste 14. Sub Caste

15. Present Address

16. Native Place Address:

17. Mobile No.(whats app) 18. Mobile No. 19. Adharcard No
17. Email ID 18. Name Of Local Guardian:
19. Mother Tongue: 20. Will use school bus facility
21. Brother / Sister if any in this school G.R. No. Class/Sec
G.R. No. Class/Sec

PARENT'S INFORMATION

1. Father's Name: 2. Qualification:
(a) Graduationn : (University & College) (a) Post-Graduationn : (University & College)
3. Occupation: Business Private Government 4. Specify Designation:
Official Address Mobile No.
Mobile No. Email ID Monthly Income

PARENT'S INFORMATION

1. Mother's Name: 2. Qualification:
(a) Graduationn : (University & College) (a) Post-Graduationn : (University & College)
3. Occupation: Business Private Government 4. Specify Designation:
Official Address Phone
Mobile No. Email ID Monthly Income

Note:

1. A Photostat copy of the municipal birth certificate/school leaving certificate must be attached to this application form.
2. For any enquiry about the submitted application,the form no. should be quoted.
Answer Briefly : Why have you opted for this school?
What are your exceptations from the school?
I certify that the above information is correct to the best of my knowledge and belief and that nothing has been concealed therein. I fully understand that the admission of the child will be at the sole discretion of the school and I have no right to question the modalities of the admission procedure and selection.

Date

Signature of Parent/Guardian

Signature of Principal

FOR OFFICE USE ONLY

Date entry made by
Sign.
1. Admission No.
2. Date of Admission
3. Receipt No.
4.Class
5. Sec.
6. Admit to Class
7. Date of Payment
8. Remarks: