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:
| Details | Mother | Father/Guardian |
| Name | ||
| Educational Qualification | ||
| Residential Address | ||
| Mob. No. | ||
| Occupation | ||
| Annual Income | ||
| ADHAAR NO. |
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
