1. No category

Tel. 22371019
ARUNODAYA SR. SEC. PUBLIC SCHOOL
(Senior Secondary – C.B.S>E. Affliated)
I-1 Karkarduma Industrial Area,
Vikash Marg, Delhi- 110 092
Form – I
REGISTRATION / ADMISSION FORM
PHOTOGRAPH
PHOTOGRAPH
PHOTOGRAPH
OF
OF
OF
FATHER
MOTHER
STUDENT
No. APS/REG/ 3644
(For Official Use Only)
Registration for class
1. Name of the Student (In block letters)
2. Date of Birth:
(In Words)
3. Sex:
4. SC/ST/OBC:
Date
Male
Yes
Month
Year
Femal
e
No
Tick the
Appropriate box
Enclosed Proof
5. Class for which admission sought
6. Father’s Name (In Block Letter)
Official Address ( if any)
Occupation
Off. Tel. No.
Mob.
Designation
E-mail id
Residential Address:
Education Qualification:
7. Mother’s Name (In Block Letter)
Official Address ( if any)
Occupation
Off. Tel. No.
Mob.
Designation
E-mail id
Residential Address:
Education Qualification:
8. Is the School Transportation required ?
Yes
9. Medical Information: Does the child have some special needs ?
If Yes, give details
No
10. Information on parameters adopted by the school : (Tick the appropriate category)
(A)
Core Categories
Religious / Linguistic Monority
Economically Weaker Section
Socially Disadvantage Section
Is the Admission sought under seats reserved
For economically weaker section of society:
Yes
No
If Yes, Total annual income of parents:
Sibling (Real Brother / Sister only)
(Tick the appropriate)
Yes
No
If sibiling in the same school
Sibiling Name
Give detail of sibiling
Class & Section
School Alumni
(A)
Father
Yes
No
(B)
Mother
Yes
No
Yes
No
Child who is physically challenged
(A)
Distance from the school (Tick the appropriate)
0-5 Km
5-8 Km
Beyond 8 Km
11. Please register my son/ daughter/ ward namedabove in the school I shall the reqisite document at the time
of admission :
Signature
Undertaking
I
father/ mother of
hereby
declare that information given above by me is based on fact and authentic records, Admission of my child
may be cancelled if any information is found to be false.
Enclose attested:
1. Photocopy of birth Certificate
2. Address Proof
3. Id Proof whit Photograph
Signature
Acknolegement
Received whith thanks from
Form No. 3644
F/O, M/O
Class
Date
Signature & Stamp