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Admission Form +1

This document is an admission form for class 11th (academic year 2011-2012) at Pi Scholastics institute. It requests information such as the student and parents' names, contact details, address, date of birth, gender, school details including grades from 10th and 11th, subject preferences, father's occupation and office details. The student and parent are required to sign agreeing to abide by the institute rules regarding conduct and understanding that the institute reserves the right to restrict entry in case of any misbehavior.

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k_sushil100
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
31 views

Admission Form +1

This document is an admission form for class 11th (academic year 2011-2012) at Pi Scholastics institute. It requests information such as the student and parents' names, contact details, address, date of birth, gender, school details including grades from 10th and 11th, subject preferences, father's occupation and office details. The student and parent are required to sign agreeing to abide by the institute rules regarding conduct and understanding that the institute reserves the right to restrict entry in case of any misbehavior.

Uploaded by

k_sushil100
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Admission Form 10+1 ( 2011-12)

Please fill in all required information in BLOCK LETTERS

Student Name: ________________________________________________________________________________


Fathers /Guardians Name: ______________________________________________________________________
Mothers Name: _______________________________________________________________________________
Mobile No. (Father): ______________________ (Mother) ______________________________________________
(Student) ________________________________ (Landline No.) _________________________________________
Correspondence Address /Hostel/ P.G : ______________________________________________________________
______________________________________________________________________________________________
Permanent Address: _____________________________________________________________________________
______________________________________________________________________________________________
PG required:

Yes

Transport required:

No

Yes

No

E-mail Father: ___________________________

E-mail Student: ___________________________

Date of Birth:

Sex :

DD

MM

YYYY

Male

Female

School Name: _________________________________________________________________________________


Physics

Chemistry

Grading/Percentage of 10th Class

Maths

Science

Grading/Percentage of 11th Class

Physics

Chemistry

(Please the course student wants

Maths

to join at Pi Scholastics)

Maths

Fathers occupation with designation _______________________________________________________________


Office Address ________________________________________________________________________________
I promise to abide by the rules & regulations of the institute. I will behave properly and will not indulge in any
mischievous activity inside the premises and understand that institute holds right to ban my entry in the class.

Students Signature
I fully understand the rules and regulations of the institute and I will co-operate with the management of Pi Scholastics
and I am responsible for the conduct of my child in the premises of Pi Scholastics and the test centre.

Parents Signature
SCO 16-17, 1st & 2nd Floor, Sector 20-D, Chandigarh
Ph.: 0172-6544444, 5025027, 3910727, 9216144327
E-mail : [email protected] Website : www. pischolastics.com

---------------------------------------------------------------------------------------------------------------------------------------------For Office Use Only


Paste your
recent
passport
size colored
photograph
here

Date.: ..

Students Name:..

Class.: .

Roll No:. .

Batch.: ..

Course :..

Authorized Signature

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