SNEHALAYA INTERNATIONAL PUBLIC SCHOOL Sikroda, PO Badori, Jhansi Road, Gwalior - 475 001         ADMISSION FORM
No.__________________Session_____________________________	Passport size photograph of the student
Money Receipt No._______________ Date_____________________
To,
The Principal,
Snehalaya International
Public School, Gwalior (M.P.)
I request that my son/daughter ward named below be admitted in your school in the session starting from July 2012_______.

 

Class_________________  Day Boarder                  Hosteller              Day Scholar

 The necessary particulars of the student are given below :

1.  Name in full (in capital) :_________________________________ Sex : M / F

 2. Name of Father_________________________________ Occupation:__________

 3.  Name of Mother________________________________ Occupation:__________

   

4.  Date of Birth in Figures	DD  :   ____ ____  MM :____ ____YYYY:____ ____ ____ ____
in words

    5.  Permanent Address:____________________________________________________

           ______________________________Pin________________Tel___________________

  E-mail address__________________________________________________________

 6.  Name of Guardian or Local caretaker ____________________ Occupation  ________

      Address _____________________________________________________________

    _________________ Mobile ________________________Ph. :__________________

     E-mail address________________________________________________________

   

7.  Category

Genl

SC

ST

OBC

BPL

disabled %

 8.  Mother tonguen>________________________________________________________

 

9.  Name of last institution attended (if any) ___________________________________

 10.  Blood group_________________________________________________________

 11. Health related problem (if any)___________________________________________

 12. Medications if any_____________________________________________________

 Ø  I submit herewith the Transfer Certificate from the previous school, the Birth Certificate / the caste
certificate and other necessary documents as required.

 Ø  I declare that the student has not studied previously in any recognized school and the date of birth
given above is correct to the best of my knowledge and is based on authentic
record (Birth Certificate) as submitted herewith.

 Delete whichever is not applicable.

                                                                              _______________________________

                                                                              Signature of Father / Mother / Guardian

                                                                              with name in full

 

 

                                                                    FOR OFFICE USE ONLY

 

 Name of Student_________________________________________________________

 Fee and other charges if any paid by MR No. ____________________Date__________

 Admission in class _____________________________________Section____________

 The following documents are to be submitted within a week.

 (i) Birth Certificate   (ii)  Caste Certificate   (iii) T.C. from the previous school  (iv) Any other documents.

 Recommended for admission / provisional / confirmed.

                                                                                

_____________________                                                        _____________________                                                                                                                                      

         Office Stamp.                                                                               PRINCIPAL