1 NATIONAL PUBLIC SCHOOL YESHWANTHPUR, BANGALORE 2015-2016 Application for Registration Only Name of the Pupil (in block letters) Place of Birth Date of birth In figures: In words: Nationality Religion Class: Year: 2015 - 16 Mother Tongue M Does your child have any disability (Yes /No) Any evidence of learning disability (Yes/No) Details of Parents Father: Name: Sibling (School & Class studying in) Mode of transport Private/School bus Mother: Name: Address: Address: Tel (O): Tel (O): Tel (R): Tel ( R ): Mobile: Mobile: Fax: Fax: E-mail: E-mail: Profession: Profession: Position: Position: Company & Address: Company & Address: Annual Income: ₹ Annual Income: ₹ Details of Previous Schooling Year 2012-13 2013-14 2014-15 Gender F F School Class Grades/Marks obtained in Final Exam Eng Hindi Math Science Eng Hindi Math Science Eng Hindi Math Science FOR OFFICE USE Remarks………………………………………………………………………………………………………………… Class………………………… Place: Bangalore Date:    Enclose copy of birth certificate Enclose copies of marks card of the last 3 years for classes II-XI Incomplete forms will be rejected. Principal -2Registration for admission does not ensure an admission. Admission is granted on merit and availability of seats. Entrance test for classes I to XI is conducted before granting admission. An annual fee increase of 10 to 15 percent is effective to offset, the increasing expenditure by way of salary, maintenance and material expenditure. National Public School is a private self-financing institution. If an intimation is not received, it should be presumed that there is no vacancy during the year and no separate intimation is sent to the candidates not selected. I have read the rules and regulations of National Public School and I fully agree to abide by them as long as my child is a student there. Signature of Father Signature of Mother