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Mother'S Pride School, Dhemaji: Affiliated To C.B.S.E. Delhi Affiliation Number 230189

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bhowal raju

This document is a registration form for Mother's Pride School in Dhemaji, Assam for the academic session 20__-20__. It collects information such as the applicant's name, date of birth, nationality, religion, caste, gender, family details including parents' names, addresses, occupations and contact numbers. It also collects information on annual family income, bank account details, disability details if any, and distance of residence from the school. The form must be signed by the parent/guardian and accompanied by two passport size photographs and a copy of the birth certificate. Admission is subject to availability and submission of required documents as per the Right to Education Act 2009.

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Mother'S Pride School, Dhemaji: Affiliated To C.B.S.E. Delhi Affiliation Number 230189

Uploaded by

bhowal raju
92 views2 pages
This document is a registration form for Mother's Pride School in Dhemaji, Assam for the academic session 20__-20__. It collects information such as the applicant's name, date of birth, nationality, religion, caste, gender, family details including parents' names, addresses, occupations and contact numbers. It also collects information on annual family income, bank account details, disability details if any, and distance of residence from the school. The form must be signed by the parent/guardian and accompanied by two passport size photographs and a copy of the birth certificate. Admission is subject to availability and submission of required documents as per the Right to Education Act 2009.

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This document is a registration form for Mother's Pride School in Dhemaji, Assam for the academic session 20__-20__. It collects information such as the applicant's name, date of birth, nationality, religion, caste, gender, family details including parents' names, addresses, occupations and contact numbers. It also collects information on annual family income, bank account details, disability details if any, and distance of residence from the school. The form must be signed by the parent/guardian and accompanied by two passport size photographs and a copy of the birth certificate. Admission is subject to availability and submission of required documents as per the Right to Education Act 2009.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
92 views2 pages

Mother'S Pride School, Dhemaji: Affiliated To C.B.S.E. Delhi Affiliation Number 230189

Uploaded by

bhowal raju
This document is a registration form for Mother's Pride School in Dhemaji, Assam for the academic session 20__-20__. It collects information such as the applicant's name, date of birth, nationality, religion, caste, gender, family details including parents' names, addresses, occupations and contact numbers. It also collects information on annual family income, bank account details, disability details if any, and distance of residence from the school. The form must be signed by the parent/guardian and accompanied by two passport size photographs and a copy of the birth certificate. Admission is subject to availability and submission of required documents as per the Right to Education Act 2009.

Copyright:

© All Rights Reserved
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MOTHER’S PRIDE SCHOOL, DHEMAJI

AFFILIATED TO C.B.S.E. DELHI PASTE THE


AFFILIATION NUMBER = 230189 PHOTOGRAPH
No.1 Nareng Survey Village, Aradhal, Dhemaji
Helpline – 9435088689,7002598260 I Email – info@mpsdhemaji.in

REGISTRATION FORM

Admission Form for Session 20____ - 20 _____ Admission No. ___________________


Date = ______/______/20______ Admission sought for class _________

(INFORMATION REGARDING THE APPLICANT)


1. Name in full = ________________________________________________________________________
2. Class applied =_______________ Date of Birth = _________________ Nationality = _______________
3. Brother/Sister studing in the School (if any) = _______________________________________________
4. Language (S) spoken at home = _________________________________________
Religion = _________________ Caste = ____________________ Gender = _________________
5. Any problem occurring frequently = ______________________________________________________
6. Family information –
Father’s Name = ___________________________________________________________________
Permanent Address = _______________________________________________________________
Tel No. ________________________________ Occupation = _______________________________
7. Mother’s Name = _______________________________________________________________________
Occupation = ______________________________________________________________________
Tel No. _________________________________________________________
8. Admission Under 2(e) of RTE Act 2009
SC ST CWSN Orphan Migrant & Street Children
HIV infected Transgender OBC (BPL)
9. Distance from school to Residence
i) less than 1 km ii) less than 3 km iii) less than 5 km
10. Aadhar No. of Child = ____________________________________
11. Annual Income of family = ___________________________________________________________
12. Bank account no. of child = ___________________________________________________________
IFSC Code = _____________________________________________________________________
Bank Name = ____________________________________________________________________
Branch = _______________________________________________________________________
13. Type of Disability = __________________________________________________________________
I, Solemnly declare that the particulars given above are true and correct to the best of my
knowledge.

Date - ___________________
Place - ___________________ Signature of Parent/Guardian

Note –
 The form must be signed by parents/Guardian only.
 At least one person must accompany the child at the time of admission.
 Collection of Registration form does not ensure admission.
 Submit two copies of passport size photograph.
 Xerox copy of Birth Certificate.
 All documents as per RTE Act. 2009

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