The Community Centre
Established in 1956
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APPLICATION FOR ADMISSION
(All the Columns should be properly filled in Block Letters)
Name of the pupil in full :
Gender:
Boy
Girl
Date of Birth:
Place of Birth :
Father's Name :
Mother's Name :
Educational level of Father :
-- select one --
Illiterate
Primary School
High School
PUC / +2
Bachelor's degree
Master's degree
Doctorate or higher
Educational level of Mother :
-- select one --
Illiterate
Primary School
High School
PUC / +2
Bachelor's degree
Master's degree
Doctorate or higher
Father's Occupation:
Mother's Occupation:
Parent's Annual Income:
Number of Dependents
Pupil staying with:
With Parents
With Mom
With Dad
With Others
Full address:
parent or Guardian (Change in the address should be intimated)
Contact Number :
Nationality, Religion, Caste / Sub Caste :
Details of Brother & Sisters of the pupil Studying in this Institution
Brother
Sister
add
Whether Vaccinated or not ?
Yes
Not
Mother Tongue:
I request that the above named son/daughter may be admitted to the L.K.G / U.K.G
I will co-operate with the school authorities in the furtherance of the education of my son / daughter.
I will produce the birth certificate.
The information furnished by me in the application are true.
SUBMIT