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registration-form

The document is a registration form for Tagore School, Senior Secondary, requiring detailed information about the child and parents, including personal details, academic qualifications, and previous schooling. It includes sections for declarations and acknowledgments related to the accuracy of information provided. Registration does not guarantee admission, and various criteria such as distance from the school and special needs are also addressed.

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ravishapoddar99
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29 views

registration-form

The document is a registration form for Tagore School, Senior Secondary, requiring detailed information about the child and parents, including personal details, academic qualifications, and previous schooling. It includes sections for declarations and acknowledgments related to the accuracy of information provided. Registration does not guarantee admission, and various criteria such as distance from the school and special needs are also addressed.

Uploaded by

ravishapoddar99
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TAGORE SCHOOL

(SENIOR SECONDARY )
18, MAYAPURI MARG, MAYAPURI, NEW DELHI-110064
(PLAY SCHOOL: RAJOURI GARDEN, CHAND NAGAR)
REGISTRATION FORM
(TO BE FILLED IN BLOCK LETTERS)
(Registration does not ENSURE admission)
1. REGISTRATION FOR CLASS : …………………STREAM(FOR CLASS XI)………………..… ……….
2. CHILD’S NAME ……………………………………………………………………………….…M / F……
3. DATE OF BIRTH (IN FIGURES) DD……………MM……………YYYY…………………
(IN WORDS) …………………………………………………………………………………………....
4. AGE AS ON 31ST MARCH 201 YEARS……………MONTHS……………DAYS…………
5. NATIONALITY ………………………………….. …………. ………………..…. ………………………...
6. FATHER’S NAME …………………………. …………………………………………………………..……
A) ACADEMIC QUALIFICATION ………………………………….. B) OCCUPATION ./…………..….
C) DESIGNATION ……………………CENTRAL/STATE GOVT.EMPLOYEE YES…NO…….. ……………
D) MONTHLY INCOME ………..…… E) OFFICE ADDRESS & PHONE …………………………………………..….
EMAIL I.D.……………………………………… PAN CARD NO……………………………………………………
7. MOTHER’S NAME …………………………………………………………………………………………..
A) ACADEMIC QUALIFICATION ………………………………….. B) OCCUPATION ….…………….
C) DESIGNATION ………………………… CENTRAL/STATE GOVT.EMPLOYEE YES…NO…….D) MONTHLY INCOME
……………… E) OFFICE ADDRESS & PHONE NO.………………… …………………E-MAIL .D…………..………………
PAN CARD NO.…………………
8. RESIDENTIAL ADDRESS ……………………………………………………………….…
…………………………………………………………………….. PHONE NO. …………………………….
9. DETAILS OF PREVIOUS SCHOOL
(A) NAME OF THE SCHOOL.. …………………………………………………………………………………
(B) CLASS IN WHICH STUDYING.. …………………………………………………………………………….
10.PLEASE TICK THE RELEVANT BOX DISTANCE FROM THE SCHOOL
0-3KMS……3-5KMS…..5-7KMS….7-10KMS…..ABOVE 10KMS…..
10A.TRANSFER CASE YES….NO…..SINGLE PARENT YES….NO….
10B.CHILD WITH SPECIAL NEEDS YES….. NO……GIRL CHILD……FIRST CHILD……
10C. MINORITY COMMUNITY YES….NO……
11. IS SCHOOL TRANSPORT REQUIRED( ONLY ON EXESITING ROUTE) YES…….NO……..
12. SIBLING (REAL BROTHER/SISTER ONLY) YES……NO…….
NAME……………………………………CLASS…………………..SECTION …………….ADMN. NO……..
13.SCHOOL ALUMNI FATHER…YES……NO…….YEAR………..MOTHER…YES……NO…….YEAR………..
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ACKNOWLEDGEMENT

NAME …………………………………………………………………………..CLASS ………………………………….

REGN. NO. ………………………….............. DATE OF ADMISSION TEST ……………………………………………

ADMISSION IN-CHARGE
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PLEASE SIGN. THE DECLARATION OVERLEAF
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Declaration :

1. I hereby certify that the date of birth & spellings of the name of my child given in this form are
correct to the best of my knowledge and shall not make any request for changes in either.
2. I hereby certify that in case I do not claim the Caution Money paid by me for a period of one
year after my ward leaves the school, the amount may be treated as a donation to the school
and my right over the refund of this amount will stand relinquished by me.
3. I understand that rendering false or misleading information or withholding correct information
may disqualify the child for admission in this school.
4. I certify that I am the bonafide guardian of the child.
5. I hereby certify that my ward and myself shall follow all the rules, regulations & procedures
laid down by the school from time to time.
6. I hereby put my signatures to confirm the above declarations.

Signature of Applicant

Date : ------------------------

Place: ------------------------

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