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