Document 6592465

Kurudu Sonnanahalli,Virgo Nagar P.O, Bangalore-560049.
Karnataka, South India, Ph: 080 – 32479906.
Recent Passport Size
Photograph
APPLICATION FOR ADMISSION
Admission for Class:
1. Name of the Student
................................................................................................................
2. Mother’s Name
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3. Father’s Name
................................................................................................................
4. Date of Birth
……………………………………………. Sex : ......................................................
5. Date of Birth in words
................................................................................................................
6. Physically challenged
Yes / No …………………………………….………………………..(If ‘Yes’ give details)
7. Blood Group
……...………………..… Only Child : Yes / No ...............................................
8. Caste
……………………………………………………….…..…… ( General / OBC / SC / ST )
9. Religion
………………………………….Nationality : ......................................................
10. Mother Tongue
................................................................................................................
11. Identification Mark 1
................................................................................................................
12. Identification Mark 2
................................................................................................................
13. Communication Address
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
14. E_Mail ID
................................................................................................................
15. Contact Number for SMS
...............................................................................................................
16. Other Contact Numbers
................................................................................................................
17. Permanent Address
................................................................................................................
................................................................................................................
................................................................................................................
Admn.No
:
Attachments of
Xerox copies :
1. Birth Certificate
Class & Sec
:
2. Caste Certificate
For office use only
2. Health Report
3. Marks/Report Card
Date of Admn:
Remarks
Originals :
1. Transfer Certificate
:
Signature of Parent / Guardian
Signature of Principal
INSTRUCTIONS TO PARENTS / STUDENTS
1. Registration for admission does not ensure an admission. Admission is granted based on merit
against available vacancy only.
2. An annual fee increase of 10 to 15 percent is effective to offset the increasing expenditure by way
of salary, maintenance and material expenditure as it is a private self-financing institution.
3. We expect our students to be well behaved, regular and punctual in their attendance and show
remarkable progress in studies in examinations / test and in the submission of all kinds of class
work / home assignment.
Please Sign the following declarations
1. The information given by me is accurate to the best of my knowledge and belief.
2. I promise to abide by all the rules and regulations of the school and I will keep up the Ideals of the
school and conduct myself accordingly.
3. I will put in at least 95% attendance in each subject at the end of the academic year. In case, if I
violate any of these conditions, I agree that the Principal will have the right to detain me from
proceeding to the annual examinations conducted by the Board. The decision of the Principal will
be final and binding.
Note :1. Once admission is granted the school fees has to be paid on the stipulated date to the Federal Bank,
K.R.Puram branch, Bangalore - 36.
2. Use capital letters in filling the names of candidate and parents in the form.
3. Fees once paid will not be refunded.
4. Produce all documents at the time of admission as listed in the attachment.
5. It is obligatory for students to abide by the school rules and regulations.
6. School can not mention the Caste or Sub Caste in the TC unless caste certificate is produced.
COURSES OFFERED FOR XI & XII (tick any one)
SCIENCE
PCMB
- PHYSICS, CHEMISTRY, MATHEMATICS, BIOLOGY, ENGLISH
PCMC.Sc
- PHYSICS, CHEMISTRY, MATHEMATICS, COMPUTER SCIENCE, ENGLISH
COMMERCE
ABEC.Sc
- ACCOUNTANCY, BUSINESS STUDIES, ECONOMICS, COMPUTER SCIENCE
I have read the rules and regulations of Lake Montfort School and I fully
agree to abide by them.
………………………………………………
…………………………………………….
Signature of student
Signature of Parent