DD/MM/YYYY Application No. 1 (Affiliated to ICSE, New Delhi) 121, 3rd Cross, III Phase, J.P Nagar, Bangalore - 78. Tel.: 2658 2710 / 2658 4619 Fax: 26596225 E-mail: [email protected], [email protected] Affix Photo Admission Form Grade applied for Personal Details of the Student Name of the Applicant First (Full name in BLOCK LETTERS) Sex Middle Male Date of Birth (in figures) Place of Birth DD MM Last Female YY TOWN / CITY (in words) DISTRICT STATE Mother Tongue COUNTRY Religion Whether belonging to SC/ST/OBC Caste Nationality (If Yes, enclose certificate) Parents Details Father's Name Designation Occupation/ Organisation Annual Income E-Mail ID Qualification Mobile No Mother's Name Designation Occupation /Organisation Annual Income E-Mail ID Qualification Mobile No Residential Address CITY DISTRICT COUNTRY STATE Contact No. TEL 1 MOBILE TEL 2 Office Address CITY DISTRICT STATE COUNTRY Contact No. Admission Form TEL 1 MOBILE TEL 2 Siblings in the same School 1. Class Studying in Date of Birth DD MM YY Date of Birth DD MM YY 2. Class Studying in Note: Incomplete application forms will be summarily rejected. 2 Medium of Instruction English Choice of Language - Please tick (ü) Class I to VIII Option Second Language Kannada / Hindi Third Language Hindi / Kannada Date : Signature of Parent / Guardian Previous School Academic Record Grade last studied in No. of Years Name of the School : CITY DISTRICT STATE Contact No. TEL 1 TEL 2 COUNTRY MOBILE Why are you interested to take admission in St. Paul’ s English School ? Any other information to support this application n This is to certify that all the information furnished above are correct to the best of my knowledge Date : Signature of Parent / Guardian Check List of attachments 1. Three Passport size Photographs 4. Transfer Certificate 2. Birth Certificate in original 5. School Performance Report 3. Copy of Passport (Foreign Nationals) 6. In case of SC/ST a copy of caste FOR OFFICE USE ONLY Date: ___________________ The above pupil is admitted to this institution on______________________to Class______________________ Fee Receipt No.___________________________________________________________________________ All the details are checked and verified_________________________________________________________ Principal Admin. Manager Accountant Admission Form certificate to be furnished