THE ADARSH SCHOOL Paste
Passport size
Kirti Nagar, New Delhi-110015 Photograph
(A Senior Secondary, Co-educational, English Medium Public School)
of
(Recognised & Affiliated to C.B.S.E.)
Child
ONLINE REGISTRATION FORM
(Registration does not guarantee Admission)
Name of the Child : __________________________________________ Sex (Male / Female) : ________
Class to which admission is sought (in words) : _____________ Are you a Single Parent (Yes / No) : __________
Date of Birth (DD/MM/YYYY) : _____________________ (Please attach photocopy of Birth Certificate)
Has the child attended any school / playschool before (Yes / No) : _______
If yes, name of school : ________________________________ (Please attach photocopy of Report Card)
Residential Address : _________________________________________ (Please attach photocopy of Ration Card/Voter Card, etc)
Mother’s Name : _________________________________ Age : ______ Contact No. : _______________
Occupation (with complete official address) : _________________________________________________
Father’s Name : _________________________________ Age : ______ Contact No. : _______________
Occupation (with complete official address) : _________________________________________________
Annual Income (Mother) : ________________ Annual Income (Father) : ________________
Does any of your other child study in this school (Yes / No) : _________
Please provide details about your other children : ____________________________________________
Is School Transport required ? (Yes / No) : __________________________________________________________
(School Transport will be available only on existing routes)
Does the child have any special needs ? (Please give details) : __________________________________________
Has the child been regularly immunized ? (Yes / No) : ________ (Please attach photocopy of Immunization Card)
DECLARATION
We declare that the information given above is true and correct. We also understand the admission of the child will be
cancelled in case any of the above information is found incorrect.
_________________________ ________________________
(Signature of Mother) (Signature of Father)
Note : Along with the Print-out (duly filled) and all supporting documents, please pay Rs.25/- (by Cash or Bank Draft)
at the school counter.
