APPLICATION FORM FOR REGISTRATION
STUDENT'S PERSONAL DETAILS
Admission for Class*
Gender*
Female Male Transgender
Student's Name*
Father's Name*
Mother's Name *
Student's Date of Birth*
Category*
CONTACT DETAILS
Address*
Country*
State*
City*
Locality
Mobile Number
E-Mail Id
ADDITIONAL DETAILS
Student's Aadhar Number
Place of Birth
Nationality
Parivar Pehchan Patra (Unique ID)
Previous School Attended by the child
Single Child*
Yes    No    
Plan opting for*
PLAN A    PLAN B    PLAN C    NON DECIDED    
Meal Plan
Veg    Non-Veg    Not Applicable    
Father's Details
Educational Qualification
Occupation and Place of Work
Designation
Office Address
Contact No:-Mobile *
Father's Email-id*
Mother's Details
Educational Qualification
Occupation and Place of Work
Designation
Office Address
Contact No:-Mobile *
Mother's Email-id*
Annual Income of the family
Guardian's Details
Name of the Guardian (If any)
Relation with guardian
Guardian's Mobile Number
In case the parents separated or Divorced, please provide supporting documents and indicate the arrangement between the parents regarding visitation rights.
Sibling Information
Is your any other brother (s) sister (s) studying in this school?*
Yes    No    
If yes then fill this section:
Sibling 1.
Admission Number
Name
Gender
Class & Section
Sibling 2.
Admission Number
Name
Gender
Class & Section
Sibling 3.
Admission Number
Name
Gender
Class & Section
Transport Information
Are you seeking school conveyance?*
Yes    No    
If yes, Please fill pickup location
Physical Fitness Certificate
Blood Group
Height
Weight
Allergies, if any
Any Other Remarks
Any Ailments (Pls. Specify if any)
Any Ongoing Medications (Pls. Specify if Any)
UPLOAD DOCUMENTS
Undertaking
Undertaking by Parents
1. I understand that school can increase fee and other charges at any point of academic session.
2. I/am We/are aware of conditions relating to admission and agree to pay all fees for which liable.
3. I/We declare that all information given in the application is true and correct.
4. No change in date of birth, given in the above statement can be made subsequently.
5. Pupil's lawful and defacto guardian may sign this document only when father is no more.
6. The school reserves the rights to verify any information provided and ask for further evidence if fraudulent or deliberately misleading, incorrect or incompetent information has been supplied and that information has led to a place being offered which would not otherwise have been offered, the school reserves the right to cancel the admission.
7. To apply for security refund within 3 months after leaving the school, otherwise security will be forfeited.
8. Any fee paid will be non-refundable.

So, I request your favour of admitting my ward in your school.
Date: ________________
 
Father's Signature
 
Mother's Signature
 
Guardian's Signature
Signature of the Principal
 
GENERAL CONDITIONS
  1. Age should be 2.5+ for entry level
  2. Documents required for admission
    • Date of birth Certificate (Issued by any competent authority). Ward and parent's names must be according to the Birth Certificate only. No changes will be made thereafter.
    • Photograph of parents and student
    • Certificate required for SC, ST and OBC
    • Address Proof: (Passport/Paid Electricity bill/Paid BSNL telephone bill/Electoral Card) or any other ID proof issued by Government
    • School reserves the right to verify the residential address.
    • Aadhar Card copy of student
    • Previous Class Report Card
    • Transfer Certificate
    • EWS Admission: Income certificate by SDM.
  3. Medical Fitness Form duly filled by Doctor and copy of blood group report.
  4. Admission of your ward would remain provisional till you deposit above mentioned documents with the school office. You are not entitled to get any certificate from school till submission of above documents.
  5. You need to give one month notice or fee of one month in lieu of notice period for withdrawal of your child.
  6. PPP ID is mandatory as per Haryana State Government.
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