Admission Form

ASIAN PUBLIC SCHOOL, UMRA (HISAR)

An English Medium Co-Educational CBSE School

ADMISSION FORM

Class……………………. Admission No………….……. D.O.A………….………

PERSONAL DETAILS:

1. Name………………………………………S.R.N. ……………………………………

2. Gender: Male          Female           Any other 

3. 

D.O.B.:                       In words………………………………………………..

4. Details of Parents: 

DetailsMotherFather/Guardian
Name  
Educational Qualification  
Residential Address  
Mob. No.  
Occupation  
Annual Income  
ADHAAR NO.  

5. Whether the candidate is:-

a. Single Child:​​​​​Yes/No

b. Specially Abled(Divyangjan)          Yes/No

c. Belonging to the EWS:      ​​Yes/No

6. Category: GEN/OBC/SC/ST/EWS   CAST……………………….

7. Aadhar No…………………………………… Class Last attended…………

8. FAMILY ID : ………………….9. SCHOOL DISTANCE:…………

DECLARATION

     I hereby declare that the above information including Name of the Candidate, Father’s/Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the school.

Date……………………​​​​​Signature of the Parent’s/Guardian

Place………………….                                          Relation with candidate……………….

Signature of the Principal