ENROLLMENT FORM - Calorx Public School..

Calorx Public School
Ghatlodia, Ahmedabad
Office Use
_____________
Admission No. _____________
Registration No. _____________
ENROLLMENT FORM
(Use Block Letters)
Photograph
FIRST NAME
1.
MIDDLE NAME
SURNAME
Child’s Name : ______________________________________________________
Male / Female : ___________________ Blood Group: _______________________
2.
Date of Birth :_______________________________in figures._________________
_____________________________________________________________in words.
Place of Birth: ________________________________________________________
3.
Land School Attended __________________________________________________
4.
Birth Certificate / Transfer Certificate submitted or not ________________________
No admission will be considered as complete until countersigned Transfer Certificate in
Original is produced. In case of admission in Nursery, Jr.KG, Sr.Kg and Class I, a
notarized copy (not- attested copy) of Municipal Birth Certificate is a must.
5.
Nationality of the Child: __________________ Religion: ______________
6.
Whether member of the Scheduled Caste / Scheduled Tribe / OBC / Other _________
(supporting documents to be attached)
7.
Father’s Name: ________________________________________________________
Academic Qualifications : _________________________ Designation ____________
Office Name & Address : ________________________________________________
_____________________________________________________________________
Office Tel No. ____________________
Mobile No.: ______________________
E-mail Address: _______________________________________________________
8.
Mother’s Name: _______________________________________________________
Academic Qualifications: ___________________ Designation __________________
Office Name & Address _________________________________________________
_____________________________________________________________________
E-mail Address _______________________ Office Tel No. ____________________
9.
Permanent Residential Address: ___________________________________________
_____________________________________________________________________
_____________________________________________________________________
10.
Home Town___________ State: ____________ Nearest Rly. Stn./ Airport_________
11.
Name and class of any Brother /Sister Studying in this school. (if any)
NAME OF THE CHILD
ADM NO.
CLASS/SEC
REMARKS
1.
____________________
_________
___________
______________
2.
____________________
_________
___________
______________
AGREEMENT
I, the undersigned, bind myself and my son / daughter / ward to abide by the School’s rules &
regulations in all respect and rules & regulations which may be changed or introduced by the school
from time to time.
In all matters of dispute the decision of the Management CPS, Ghatlodia will be final and binding on
me and my ward.
In case of gross violation of school rules, I shall withdraw my ward from the school, if the
management so desires.
Signature of Parent / Guardian
Date: ________________
Name and Present Address___________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Tel. No. (R) : __________________ Mobile No: _________________________________________
…………………………………………………………………………………………………………..
OFFICE USE ONLY
Admission to Class _____________ Section _________ House ___________
Class Rep ______________________ Class Teacher ______________________
Admission In-Charge ________________ Date: ______________
Principal ____________
…………………………………………………………………………………………………………..
Disclaimer
If at any point of time, the school gets to know that money has been paid to external agencies for
seeking admission to CPS, Ghatlodia the admission will be cancelled