REGISTRATION FORM FOR ADMISSION 2021-22
CLASS : UKG

Class to which admission is sought:

file size <500 kb

STUDENT PROFILE

Name:(should be as per the Birth Certificate):*
Upload self attested copy of Birth Certificate &
Vaccination details(file size <500Kb ):
*
Sex: *
Male Female
Date of Birth:*
The kids who have completed 5 years of age as on 1st June of the year of admission to UKG and who have not exceeded 6 years, are eligible for admission to UKG
    Date of Birth In words:
Nationality:*
Religion:*
Caste/Community:*
Category (General/SC/ST/OBC/OEC/Others):*
Aadhaar No:
  file size <500 kb

School previously attended*

School:
City/Country:
Achievements (if any) :
Is there evidence of any learning disability?*
Yes No
If yes, give details:**
Any medical/physical problem that could affect normal school life?*
Yes No
If yes, give details:**
Family Doctor/hospital:
Blood Group:*

FAMILY PROFILE

Father* Mother* Guardian
Name
Nationality
Edu. Qualification
Occupation
Office Address
Annual Income
Mobile No.
Email Id
PRESENT ADDRESS* PERMANENT ADDRESS*
Address:
Place:
Post Office:
Pin code:
Telephone No:
Address:
Place:
Post Office:
Pin code:
Telephone No:
Same as present address
Names of brothers and sisters if any
studying in this school
Class
1.
2.
Boarding Point (if school bus facility is required):

Details of Registration Fee paid:

DD No.:*
DD Date:*
Bank Name:*

Declaration

I have read the Rules and Regulations of this School carefully and I hereby solemnly aver and undertake on my behalf and on behalf of as his parent/Guardian that

  1. The particulars furnished about my ward for getting admission are fully true and correct to the best of my knowledge information and belief.
  2.  

  3. I am liable and responsible for the payment of school fees on behalf of my ward as per the fee payment structures formulated by the school authorities without any laps or fault and I am bound to accept the time to time revision of school fees structure by the school authorities without any objection.
  4.  

  5. I will not indulge in any activities that may cause any harm, injury to the best interest and prestige of the school and its authorities and not to do anything or intimidate obstructions or hindrance to the smooth functioning of the school.
  6.  

  7. I hereby affirm that I will not participate in or abet or propagate through any act of commission or omission that may be constituted to defame the reputation of the school or its authorities either directly or indirectly through visual and print medias including social media.
  8.  

  9. I assure that I will not be influenced by or willing support any group or individual with words and deeds, who spread baseless rumours and scandals through visual and print medias including social medias with deliberate intention to defame or disgrace the school authorities.

Upload Parent Name and Signature filesize <500 kb