Mar 31, 2017 - Admission No -. AMRITA PUBLIC SCHOOL. K-II/474, SANGAM VIHAR. NEW DELHI-110080. REGISTRATION â CUM â
Admission No -
AMRITA PUBLIC SCHOOL K-II/474, SANGAM VIHAR NEW DELHI-110080
Paste Passport Size Photo of child
REGISTRATION – CUM – ADMISSION FORM
Registration No. 2017/
Date :
Do Not Staple
Admission sought in Class :
1. PARTICULARS OF THE CHILD i. . Name :
ii. Gender (M/F)
iii. Date of Birth (in figures) (In words)
:
: :
iv. Age as on 31ST March 2017 : v. Religion
Years
Months
:
vi. Nationality
vii. Social Category – (General/ SC/ ST/ OBC/ Minority)
:
Days
:
viii. Aadhaar No
:
2. PARTICULARS OF RESIDENCE i. Residential Address : ii. Phone Number
:
iii. E-mail ID
iv. Distance from Residence to School as per Google Maps
:
:
Kms
meters
3. SIBLING DETAILS i. Real Brother / Sister studying in this School (Yes / No) Admn. No
Fee ID No
: Sibling Name
Class & Section
4. PARTICULARS OF PARENTS Father / Guardian
Mother
Name Aadhaar Number Qualification Occupation Address Mobile No. School Alumni
Yes / No
If yes
Year
Yes / No Class
Year
Class
5. OTHER DETAILS i. Single Parent – (Yes / No)
:
ii. Staff – (Yes / No)
ii. If child is physically challenged / differentially abled – (Yes / No)
:
:
iv. Is the School transport required (on existing school routes) – (Yes / No) :
DECLARATION BY THE PARENT I/We hereby certify that the above information provided by me/us is correct and I/We understand that if the information is found to be incorrect or false, the ward shall be automatically debarred from selection / admission process without any correspondence in this regard. I/We also understand that the application / registration / short listing does not guarantee admission of my/our ward. I/We accept the process of admission undertaken by the school and I/We will abide by the decision taken by the school authorities.
Paste Passport Size Photo
Paste Passport Size Photo
Paste Passport Size Photo
Do Not Staple
Do Not Staple
Do Not Staple
Father
Mother
Signature of Father
Guardian (If applicable)
Signature of the Mother
Signature of the Guardian (If applicable)
Attach photocopies of the following documents: 1. 2.
3. 4. 5. 6. 7.
Birth Certificate of the child Address Proof (any one of the following) i. Ration card issued in the name of parents (Mother/Father having name of child) ii. Domicile certificate of child or of his/her parents iii. Voter I-Card (EPIC) of any of the parents iv. Electricity bill/MTNL bill/Water bill/Passport in name of any of the parents or child v. Aadhaar card/UID card issued in the name of any of the parents Parent’s ID Proof Category Certificate , if applicable Undertaking on prescribed format School Leaving Certificate of previous school attended Form for availing school transport, if applicable
(For Office Use Only) ADMISSION NO. :
DATE OF ADMISSION
:
FEE ID
:
CLASS IN WHICH ADMITTED : STRUCK OFF ROLLS ON
:
TRANSFER CERTIFICATE ISSUED – (Yes / No) : Total Points Allotted :
