DD/MM/YYYY

DD/MM/YYYY
Application No.
1
(Affiliated to ICSE, New Delhi)
121, 3rd Cross, III Phase, J.P Nagar, Bangalore - 78.
Tel.: 2658 2710 / 2658 4619 Fax: 26596225
E-mail: [email protected], [email protected]
Affix Photo
Admission Form
Grade applied for
Personal Details of the Student
Name of the Applicant
First
(Full name in BLOCK LETTERS)
Sex
Middle
Male
Date of Birth
(in figures)
Place of Birth
DD
MM
Last
Female
YY
TOWN / CITY
(in words)
DISTRICT
STATE
Mother Tongue
COUNTRY
Religion
Whether belonging to SC/ST/OBC
Caste
Nationality
(If Yes, enclose certificate)
Parents Details
Father's Name
Designation
Occupation/
Organisation
Annual Income
E-Mail ID
Qualification
Mobile No
Mother's Name
Designation
Occupation
/Organisation
Annual Income
E-Mail ID
Qualification
Mobile No
Residential Address
CITY
DISTRICT
COUNTRY
STATE
Contact No.
TEL 1
MOBILE
TEL 2
Office Address
CITY
DISTRICT
STATE
COUNTRY
Contact No.
Admission Form
TEL 1
MOBILE
TEL 2
Siblings in the same School
1.
Class Studying in
Date of Birth
DD
MM
YY
Date of Birth
DD
MM
YY
2.
Class Studying in
Note: Incomplete application forms will be summarily rejected.
2
Medium of Instruction
English
Choice of Language - Please tick (ü)
Class I to VIII
Option
Second Language
Kannada / Hindi
Third Language
Hindi / Kannada
Date :
Signature of Parent / Guardian
Previous School Academic Record
Grade last studied in
No. of Years
Name of the School :
CITY
DISTRICT
STATE
Contact No.
TEL 1
TEL 2
COUNTRY
MOBILE
Why are you interested to take admission in St. Paul’ s English School ?
Any other information to support this application
n
This is to certify that all the information furnished above are correct to the best of my knowledge
Date :
Signature of Parent / Guardian
Check List of attachments
1. Three Passport size Photographs
4. Transfer Certificate
2. Birth Certificate in original
5. School Performance Report
3. Copy of Passport (Foreign Nationals)
6. In case of SC/ST a copy of caste
FOR OFFICE USE ONLY
Date: ___________________
The above pupil is admitted to this institution on______________________to Class______________________
Fee Receipt No.___________________________________________________________________________
All the details are checked and verified_________________________________________________________
Principal
Admin. Manager
Accountant
Admission Form
certificate to be furnished
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