Srinu Baswa
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Admission Registration Form
Simple form for Registration
Form No
Date
Name of the Student
Date of birth
- Month -
January
February
March
April
May
June
July
August
September
October
November
December
- Day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
- Year -
2011
2010
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
Gender
Male
Female
Place of Birth
Mother Tongue
Nationality
Religion
Select Religion
Hindu
Christian
Muslim
others
Name of the Father
Qulification
Occupation
Name of the Mother
Qulification
Occupation
Present Address
Tele Phone No
Phone No
Email Id
office Address
Tele Phone No
Phone No
Email Id
Class to which Admission is sought
Select Class
P.K.G
L.K.G
U.K.G
1 STD
2 STD
3 STD
4 STD
5 STD
6 STD
7 STD
8 STD
9 STD
10 STD
11 STD
12 STD
First Language
Select Language
Tamil
English
Hindi
Class & School Studied last Year
Amount Agreed
Select
Yes
No
Class Teacher Signature
Admission Fees
Total Fee (12.36% Tax Extra)
Fee Type
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Full Payment
Installment
Installment
1
2
3
4
5
6
Van Facility
Select
Yes
No
Select Van Root
Root 1
Root 2
Root 3
Root 4
Root 5
Root 6
Book Fee
Select
Yes
No
Food & Beverages
Select
Yes
No
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