akshar school

APPLICATION FOR REGISTRATION

REGN. NO. :

School Code: WB 250

APPLICATION FOR REGISTRATION

I wish to register the name of my son / daughter ward for admission to AKSHAR. I give below all the necessary particulars :

ADMISSION DESIRED TO CLASS :

DATE OF JOINING AKSHAR

NAME OF CHILD :

Sex:

DATE OF BIRTH:

PLACE OF BIRTH

RES. ADDRESS:

STATE OF ORIGIN

AGE ON 1/4/26

RES. TEL. NO.:

NATIONALITY :

MOBILE NO. :

MOTHER TANGUE:

E-MAIL :

LANGUAGES SPOKEN AT HOME :

BLOOD GROUP :

SCHOOLS ATTENDED : (Last two)

PARENTS INFORMATION

FATHER'S NAME:

MOTHER'S NAME :

FATHER'S EDUCATION: (School, College, etc.)

MOTHER'S EDUCATION: (School, College, etc.)

FATHER'S OCCUPATION:

MOTHER'S OCCUPATION

FATHER'S DESIGNATION:

MOTHER'S DESIGNATION:

FATHER'S OFFICE NAME :

MOTHER'S OFFICE NAME :

FATHER'S OFFICE ADDRESS :

MOTHER'S OFFICE ADDRESS :

FATHER'S OFF. TEL. NO.:

MOTHER'S OFF. TEL. NO.:

FAMILY INFORMATION

Type of family Jt. / Nuclear:

Joint

Nuclear

Information on siblings : 1

Name

Age

School

Information on siblings : 2

Name

Age

School

Information on siblings : 3

Name

Age

School

Please write a few lines about your child seeking admission. write in any language.

DECLARATION

I declare that the above particulars are true and correct.

Date :

Name of Parent/Guardian :

Place :

Signature of parent/guardian