APPLICATION FORM

Note: Please use capital letters only.

Admission No
 
 
Student details
 
 
 
Date of Birth
 
Place of Birth
 
Date of Birth in words
 
Gender Male       Female 
 
Correspondence Address
 
City
 
Distance from school (in kms)
 
Mobile No.:
 
Adhar No.:
 
Blood Group
 
Mother Tongue
 
Languages known:
 
Admission required for: LKG     UKG      GRADE-I      GRADE-II     
GRADE-III      GRADE-IV      GRADE-V     
GRADE-VI      GRADE-VII      GRADE-IX     
GRADE-X    
 
Admission Date
 
 
 
 
 
 
Last Name
 
Nationality Indian      NRI 
 
 
State
 
PinCode
 
Tel No
 
Email Id
 
Mob No:
 
Preferred Phone Number for school SMS:
 
Religion
 
Caste
 
Community: SC/ST      OBC          GEN     
OTHERS 
 
Name of the person to be contacted
 
Relationship
 
 
Emergency Contact No. (Res/Mobile)
 


Father/Guardian:
 
Relationship
 
Home address:
 
Home Tel No. :
 
Mobile No.:
 
Email:
 
Educational Qualification:
 
Occupation:
 
Designation
 
Office Address:
 
Tel:
 
Aadhaar Card No:
 
Annual Income:
Mother/Guardian:
 
Relationship
 
Home address:
 
Home Tel No. :
 
Mobile No.:
 
Email:
 
Educational Qualification:
 
Occupation:
 
Designation
 
Office Address:
 
Tel:
 
Aadhaar Card No:
 
Annual Income:

Details of Brothers / Sisters of the student:


Name Age Name of the Institution Standard

DECLARATION


I,     have the authority to admit my child   ,   into the school as theparent/ legal guardian. I undertake the responsibility of providing any evidence needed to support the information provided here, ifnecessary for any reason. I declare that the statements provided in this application is correct to my knowledge and if found otherwise, I shall abide by the decision of the management. I agree to abide by the rules, regulations and the fee structure of theschool.



Date:

Signature of Parent / Guardian:

For Crescent International School of Excellence Office use only



Admission Co-ordinator

Date:

Head of the Institution

Date: