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CSHP MEMORIAL PUBLIC SCHOOLNear Rajnagar Extn Crossing, Meerut Road, Ghaziabad |
| ADMISSION FORM | |||
| S.No. | School Code | ||
| Admission No. To be filled by office. | |||
| CLASS to which admission sought | Section | ||
| Date of Admission | |||
Persional Details |
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| 1. StudentName | |||
| 2. Gender | |||
| 3. Date of birth | |||
| In words | |||
4. Detail of parents
| Details | Mother | Father/Guardian |
| Name | %MotherName% | %FatherName% |
| Educational Qualification | %MotherEducation% | %FatherEducation% |
| Redidential Address | %MotherAddress% | %FatherAddress% |
| Adhaar Number | %MotherAdharNo% | %FatherAdharNo% |
| PAN Number | %MohterPanNo% | %FatherPanNo% |
| E-mail Id | %MotherEmailId% | %FatherEmailId% |
| Occupation | %MotherOccupation% | %FatherOccupation% |
| Official Address | %MotherOfficialAddress% | %FatherOfficialAddress% |
| Annual Income | %MotherAnnualIncome% | %FatherAnnualIncome% |
| 5. Whether the candidate is: | ||
| (i) Single girl child | ||
| (ii) Specially abled (Divyanganjan) | ||
| (iii) Belonging to the EWS | ||
| (iv) BPL | ||
| (v) RTI cases | ||
| (vi) PWD | ||
| (vii) CWSN | ||
6. Nationality: |
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| 7. Mother Tongue: | ||
| 8. Religion: | ||
| 9. Category: | ||
| 10. Minority: | ||
| 11. Adhaar Number (Not mendatory) Attach proof | ||
| 12. Name and Address of last attended school: | ||
| 13. Class Last attended: | ||
| 14. Last school affiliated is: |
15. Result of last Class
| Subject | Maximium Marks | Marks Obtained | % of Marks | Remarks |
| Hindi | %HindiMM% | %HindiOM% | %HindiPM% | %HindiRemark% |
| Maths | %MathMM% | %MathOM% | %MathPM% | %MathRemark% |
| Science | %ScienceMM% | %ScienceOM% | %SciencePM% | %ScienceRemark% |
| SocialScience | %SocialScienceMM% | %SocialScienceOM% | %SocialSciencePM% | %SocialScienceRemark% |
| Evs | %EvsMM% | %EvsOM% | %EvsPM% | %EvsRemark% |
| Computer | %ComputerMM% | %ComputerOM% | %ComputerPM% | %ComputerRemark% |
| GK | %GkMM% | %GkOM% | %GkPM% | %GkRemark% |
| Other1 | %Other1MM% | %Other1OM% | %Other1PM% | %Other1Remark% |
| Other2 | %Other2MM% | %Other2OM% | %Other2PM% | %Other2Remark% |
| Other3 | %Other3MM% | %Other3OM% | %Other3PM% | %Other3Remark% |
| 16. Transfer Certificate Details*: |
| Transfer Certificate No.: |
| Date of issue: |
17.Details of siblings(if any)
| Name | Brother/Sister | Age | School Studying in |
| %SiblingName% | %SiblingBrotherSister% | %SiblingAge% | %SiblingStudy% |
DECLARATION |
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| I hereby declare that the above information including Name of the Candidate, Father’s/ Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School. |
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| Date: ............................................ | Signature of the Parent(s)/Guardian | ||
| Place: ........................................... | Relation with candidate | ||
Correct entries from the Admission Forms to Admission and Withdrawal Register have been made on page no……………. on dated …………………. |
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Signature of the Principal |
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| * In case, student is from other board, Transfer Certificate should be countersigned by the Competent Authority. | |||