Saint Vivekanand Public School,Bhind
Registration Form
Class
**
:
<-select->
NUR
LKG
UKG
I
II
III
IV
V
VI
VII
VIII
IX
Session :
First Name Middle Name Last Name
1.
Name of the applicant
**
**
2.
Date of birth
**
3.
Father's Name
4.
Mother's Name
5.
State
<-select->
ANDAMAN AND NICOBAR ISLAND
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
6.
Residential Address
**
7.
Pincode
8.
Select Locality
8.
(a) Present School & Class
(b) Recognised/Unrecognised:
Yes
No
(c) Affiliated to (CBSE/ICSE/U.P. Board):
CBSE
ICSE
U.P.
(d) Nationality of the child:
<-select->
Indian
Others
(e) Religion:
<-select->
HINDU
Islam
SIKH
CHRISTIAN
BUDDHIST
PARSI
JAIN
OTHERS
JAIN (HINDU)
PUNJABI
HUMANITY
(f) Class in which last studied:
(g) Medium of Instruction:
9.
Contact Mobile No. (s)
**
Whatsapp No :
10.
Email Address
11.
Sibling Real brother/sister only
Yes
No
[Tick the appropriate]
If sibling in the same school,
Sibling Name
Give details of sibling
Class-Section
12.
Whether SC/ST/OBC/Gen.
<-select->
GENERAL
ST
SC
OBC
MINORITY
13.
School Alumni
[Tick appropriate]
If Yes, year of passing
(A) Father
Yes
No
(B) Mother
Yes
No
14.
Child with Special Needs
Yes
No
[Enclose authenticated documents]
15.
Educational Qualification
Post Graduation
Graduation
Sr. Secondary school
Secondary School
[Tick highest qualification only]
OR
OR
Examination (10+2)
Examination 10th
Professional Degree
Equivalent
OR Equivalent
OR Equivalent
(A) Father
Post Graduation
Graduate
Sr. Secondary
Secondary
(A) Mother
Post Graduation
Graduate
Sr. Secondary
Secondary
16.
Gender(Boy/Girl)
Male
Female
17.
Parents Occupation
Father
Occupation
<-select->
Advocate
Agriculture
Architect
Airways
Bank Employee
Business
Charted Accountant
Civil Services
Army/Navy/Air Force- Defense Services
Doctor
Educationist
Embassy Employee
Engineer
Entrepreneur
Financial Organisation Employee
Health Service
Hotel
Housewife
International Organisation
Merchant Navy
Journalist/AIR/Print Media
Other
Pharmacist
Politician
Public Sector Employee
Private Sector Employee
Real Estate
Railway Employee
Scientist
Serviceman
CarPenter
Penter
Zari Work
Self Employed
Teacher
LIC AGENT
AGENT IN POST OFFICE
Teaching
Farmer
NURSE
PRIVATE PRACTICE
PRINCIPAL
EX TEACHER
STAFF NURSE
ARTIST
Home Maker
LANDSCAPE HORTICULTOURIST
ADD. DISTRICT JUDGE
Home Worker
Designation
Organisation Name
Organistion Add.
Mother
Occupation
<-select->
Advocate
Agriculture
Architect
Airways
Bank Employee
Business
Charted Accountant
Civil Services
Army/Navy/Air Force- Defense Services
Doctor
Educationist
Embassy Employee
Engineer
Entrepreneur
Financial Organisation Employee
Health Service
Hotel
Housewife
International Organisation
Merchant Navy
Journalist/AIR/Print Media
Other
Pharmacist
Politician
Public Sector Employee
Private Sector Employee
Real Estate
Railway Employee
Scientist
Serviceman
CarPenter
Penter
Zari Work
Self Employed
Teacher
LIC AGENT
AGENT IN POST OFFICE
Teaching
Farmer
NURSE
PRIVATE PRACTICE
PRINCIPAL
EX TEACHER
STAFF NURSE
ARTIST
Home Maker
LANDSCAPE HORTICULTOURIST
ADD. DISTRICT JUDGE
Home Worker
Designation
Organisation Name
Organistion Add.
18.
Single Parent
Father
Mother
No
[Tick the appropriate]
19.
Whether Transport Required?
Yes
No
20.
Total Income
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Student
**
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Father
Change Image
Mother
Dated : - Signature of Parent / Guardian
Your registration has been successfully completed.
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