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Registration Form
Reg. No.
APS/2015-16/
Mount Abu Public School
Sector -5, Rohini, Delhi-85
(Senior Secondary Recognised & Affiliated to CBSE)
ACADEMIC SESSION 2015-16
AFFIX RECENT
PASSPORT SIZE
PHOTOGRAPH
OF THE CHILD
Please tick the applicable category
General
Sibling
Staff Ward
Alumni
Management
Class to which admission is sought
PARTICULARS OF THE CHILD
1. Name in Full (Block Letters)
2. Date of Birth (in Figures)
D
Date of Birth (in Words)
D
M
M
Y
Y
Y
Y
___________________________________________________________________________
Age as on 31st March, 2015
Y
3. Nationality of the Child
Y
M
M
D
D
Gender
MALE
FEMALE
_____________________ Mother Tongue__________________ Religion _______________
Whether belongs to SC/ST/OBC
YES
NO
(If yes specify)_______________________
4. Complete postal address_________________________________________________________________________________
Mobile No (only one) ___________________ Email ID (only one) _______________________ for receiving school messages
PARTICULARS OF PARENT
5. Father’s Name (Block Letter) __________________________________________ Age________________
Educational Qualifications_________________________________________________________________
Occupation and Designation_______________________________________________________________
AFFIX RECENT
PASSPORT SIZE
PHOTOGRAPH
OF THE FATHER
Name & Address of the organization where employed__________________________________________
__________________________________________________________ Annual Income _______________
Office Tel. No. ________________________________________Mobile No. __________________________
6. Mother’s Name (Block Letter) __________________________________________ Age________________
Educational Qualifications_________________________________________________________________
Occupation and designation_______________________________________________________________
AFFIX RECENT
PASSPORT SIZE
PHOTOGRAPH
OF THE MOTHER
Name & Address of the organization where employed__________________________________________
__________________________________________________________Annual Income________________
Residence Tel. No. _______________________________________Mobile No. _______________________
7. Are you a single parent
YES
NO
If yes, tick as appropriate - Widow/Widower
Divorced
8. Is your Child with special needs, ailment/physically handicapped/disabled
YES
NO
If yes, brief ____________________________________________________________________________________________
9. Name and address of the previous school attending/attended___________________________________________________
Present Class _______________________________
Medium of Instruction _________________________________
10. Kindly tick distance of residence from the school
0-3Km
3.1-5Km
5.1-7Km
7.1Km & above
11. Sibling details – (if yes, give details of the real sibling only studying at MAPS
Name of the child
Admission No
YES
NO
Class
Section
12. Alumni details - (if yes, give details of Father/Mother)
Alumni Name
13. Is the child first born?
YES
Relationship with the child
Year of passing
Admission number
NO
14. Is the parent in transferable State or Central Govt. Job?
YES
NO
Some additional information to know you and the child better
Q 1. How would you contribute to the growth of your child and what are your expectations from the school?
Ans. __________________________________________________________________________________________
__________________________________________________________________________________________
Declaration by Parent
1. I hereby solemnly declare that all the statement made in the above form and documents attached are true to the best of my knowledge
and belief. I fully understand that in event of any information being found false or incorrect, registration and admission of my ward may
be cancelled without any further notice or discussion.
2. I do understand that the Registration/shortlisting does not guarantee admission to my ward. I undertake to submit all the required
documents in original for verification by the school.
3. I agree and accept the process of admission undertaken by the school and will abide by the decision of the school authority which shall
be final and binding on me.
Date _____/_____/_______
Signature of Father__________________
Signature of Mother____________________
Place _________________
Name of Father_____________________
Name of Mother_______________________
Enclosures
(Please Tick the submitted Documents)
Attested photocopy of Date of Birth certificate of the child
Attested Residence Proof and photo id proof of the parent (Voter Identity Card/ Ration Card/ Passport)
Attested Photocopy of I-card of MAPS Sibling / 12th class Mark-sheet MAPS Alumni (if applicable)
Attested Photocopy of Caste Certificate i.e. SC / ST / OBC (if applicable)
Attach a copy of the relevant document, if the child has any special medical need/ disability/ailment (if applicable)
Photostat copy of the Report Card issued by the previous school (if applicable)
Medical fitness certificate of the child by a qualified registered doctor
Recent coloured passport size photograph of the child, mother and father duly pasted on the form
Fill in the total number of documents submitted
FOR OFFICE USE ONLY
Date of receiving ____/____/_____
Signatures
_________________
Receiver
______________________________
_________________
Admission Incharge / Co-ordinator
Principal
Points Secured
Total Points
100
Registration Slip
Mount Abu Public School
Sector -5, Rohini, Delhi-85
(Senior Secondary Recognised & Affiliated to CBSE)
Instructions for filling up the Registration Form
•
The form should be filled in by the parent in their own handwriting
•
Read the instructions carefully before filling in the Registration Form to avoid rejection
•
Fill in each entry of the form and write N.A for those entries, which are not applicable to you. Do not leave any entry
blank
•
Incomplete forms will not be accepted/entertained
•
Please enclose the required attested documents along with the registration form as per the enclosure list attached
herewith. Tick and fill the number of total enclosed documents.
•
Parent may attach extra sheet of paper as annexure (if required)
•
Kindly keep in touch with the school website for the latest updates
•
Filling and submitting of the registration form does not confirm and guarantee candidate’s admission to the school.
General Information
1. Age Eligibility (For Pre School Class)
(For Pre Primary Class)
:
3 years as on 31st March 2015
:
4 years as on 31st March 2015
2. Important Dates:
Availability of Form
20th December, 2014 to 10th January, 2015
From 08:00 am to 01:00 pm
Submission of Form
20th December, 2014 to 10th January, 2015
From 08:00 am to 01:00 pm
ACKNOWLEDGEMENT RECEIPT
Reg. No.
APS/2015-16/_________
Name of the Student ___________________________________________________ Class applied for _____________________
(To be filled by the office staff only)
Date of submission_____/_____/_______
Note:
Full sign of the receiver _______________________
Kindly contact at the school reception - 011-27041516, 27931819
or log on to the school website i.e. www.mountabuschool.com for latest updates
INSIGHT OF THE SCHOOL
The school derives its name as a mark of reverence to the spiritual and architectural heritage
of India a synonym to “MOUNT ABU”, a holy place in India. The School established with the
vision “Passionate urge for excellence at par” is a recognized, English Medium Co-educational
Senior Secondary School with Accreditation and Permanent Affiliation with CBSE , aims at
scaling new heights at every step.
• The school is fully air-conditioned with a separate Junior Wing equipped with ultramodern
amenities.
• The school boasts of 100% CBSE result with maximum distinction and placement of the
alumni in the respective fields and scholarship for higher studies.
• World class infrastructure with E-tech learning for interactive and self-based conceptual
understanding with smart. board in all the classrooms for the clarity and better impact on
the tender minds.
• Proud recipient of International School Award by British Council, a benchmark for
International standards.
• Global connections through links & exchange programmes with schools in United
Kingdom, China & Japan.
• Comprehensive and Research based curriculum for overall development of Individual.
• The innovative pedagogy aims at experiential and practical knowledge of the subject at its
best.
• Ankush Bains, an exceptional cricketer and an alumni of the school, is a proud member of
U-19 Indian Cricket Team.
• Abhishek Jaggi, an Alumni of MAPS is a renowned National Level Table Tenis player.
• Development of virtues through value education with a variety of activities based on
emotional & thinking skills.
• Proud host to National Level Science Exhibition, Regional Level Chess and Swimming
Championship organized by CBSE
• Provision of aesthetic and spiritual environment through special emphasis on rhythm and
movement thus helping in a better understanding of emotions and feelings with music
and dance.
• Enhancement of analytical and scientific temper through experimental demonstration.
• The school organizes a hub of activities under different clubs for grooming the children in
different fields.
• Exceptional clubs for the grandparents and parents such as Computer Literacy Club,
Mom’s Club etc. to upgrade them for the ever challenging environment.
• Excellent opportunities to conserve the bountiful nature and sensitize the students with
the need to safeguard environment and help the creatures to sustain successfully and
comfortably like the Project - Save Our Sparrow, Swacch Bharat, Swacch Vidyalaya , Save
our Rivers , Compassionate Citizens etc.
• Progressive learning environment for generating respect for the community and social
welfare programme like organization of Health Camps, Adult Literacy Programme ,
association with different NGO’s like GOONJ, Generating relief fund in the hours of need,
donation of toys for underprivileged, donation of woolen clothes for needy ones etc.
• Encouragement of physical growth through diverse sports activities to produce players at
National & International Level.
• Special effort for students with learning difficulties to help them come at par with the
main stream.
“There are only two lasting bequests we can hope to give our children.
One is roots; the other, wings.”