Rashtrakavi Maithili Sharan Gupt Public School
Near Power House, Main Road, Chirgaon, Jhansi,U.P.-284301
Affilated to C.B.S.E ,New Delhi.
ADMISSION FORM
Session
*
:
Class in which admission is sought for
*
:
Select Class
Nursery
L.K.G.
U.K.G.
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
11th
1. Name of the Child in full(Capital letters)
*
:
2. Sex
*
:
Female
Male
3. Date of Birth(In Figures)
*
:
(In Words)
:
4. Age of student as on 31march
*
:
Years
Months
Days
5. Blood group of child
*
:
6. Select your caste
*
:
Select Caste
GEN
SC
ST
OBC
EWS
Disabled
S G Child
7. Details of Parents :
Mother's Name
*
:
Father's Name
*
:
Nationality
*
:
Occupation
*
:
Telephone No./Mobile No.
*
:
Residential Address with Telephone No
*
:
Permanent Address
*
:
Annual Income
*
:
8. Name of Local Guardian(if any) :
Address of Local Guardian(if any) :
9. Name and Address of school last attented with Class :
10. Whether the last school was CBSE Affiliated, if NO specify the name of the board :
Select
YES
NO
11. Result of last Examination :
12. Subjects proposed to offer
*
:
13. Mother Tongue
*
:
14. Home District
*
:
DECLARATION BY THE PARENTS
1.
I hereby declare that the above information furnished by me is correct to the best of my knowledge and belief.
2.
I shall abide by the rules of the School.
NOTE
1.
Class Nursery to 8th : No registration fee
2.
Class 9th and 11th : Rs.1000 registration fee.
3.
Please submit the caste certificate and last studied school transfer certificate at the time of admission in school.
4.
All relevant formalities will be full filled at the time of admission in school.
5.
Please make the payment on below mentioned Bank Account
Rashtrakavi Maithili Sharan Gupt Public School
HDFC BANK LTD.
MAIN ROAD, CHIRGAON
JHANSI 284301 UP
Account no. 50100121477125
RTGS/NEFT IFSC CODE: HDFC0004430
Parent's Signature
_____________________
_____________________
Principal's Signature
