CSHP MEMORIAL PUBLIC SCHOOL Near Rajnagar Extn Crossing, Meerut Road, Ghaziabad

	ADMISSION FORM
S.No.		School Code
Admission No. * To be filled by office.
CLASS to which admission sought Prep A Prep B I A I B I C II A II B II C III A III B III C IV A IV B IV C IV D V D V A V B V C VI A VI B VI C VI D VII A VII B VII C VII D VIII A VIII B VIII C VIII D IX A IX B IX C IX D IX E IX F IX G X A X B X C X D X G X E XI A XI B Maths XI B Comp X F XI C Comp XI C Maths XI D XII A XII B Maths XII B Comp XII C Comp XII C Maths XII D X A OLD X B OLD X C OLD X D OLD X E OLD X F OLD XII A OLD XII B OLD XII C MATH OLD XII B OLD Comp XII C COMP OLD XII D MATH OLD XII D COMP OLD I FD II FD III FD IV FD V FD VI FD VII FD VIII FD IX FD		Section
Date of Admission * * (dd/mm/yyyy)
Persional Details
1. StudentName
2. Gender
3. Date of birth * * (dd/mm/yyyy)
In words

4. Detail of parents

Details	Mother	Father/Guardian
Name
Educational Qualification
Redidential Address
Adhaar Number
PAN Number
E-mail Id
Occupation
Official Address
Annual Income

5. Whether the candidate is:
(i) Single girl child	Yes No
(ii) Specially abled (Divyanganjan)	Yes No
(iii) Belonging to the EWS	Yes No
(iv) BPL	Yes No
(v) RTI cases	Yes No
(vi) PWD	Yes No
(vii) CWSN	Yes No
6. Nationality:
7. Mother Tongue:
8. Religion:	Hindu Muslim Sikh Christian
9. Category:	General SC ST OBC Minority EWS
10. Minority:	Yes No
11. Adhaar Number (Not mendatory) Attach proof
12. Name and Address of last attended school:
13. Class Last attended:
14. Last school affiliated is:

15. Result of last Class

Subject	Maximium Marks	Marks Obtained	% of Marks	Remarks
Hindi
Maths
Science
SocialScience
Evs
Computer
GK
Other1
Other2
Other3

16. Transfer Certificate Details*:

Transfer Certificate No.:

Date of issue: * * (dd/mm/yyyy)

17.Details of siblings(if any)

Name	Brother/Sister	Age	School Studying in

DECLARATION
I hereby declare that the above information including Name of the Candidate, Father’s/ Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School.
Date:		Signature of the Parent(s)/Guardian
Place:		Relation with candidate
Correct entries from the Admission Forms to Admission and Withdrawal Register have been made on page no……………. on dated ………………….
Signature of the Principal
* In case, student is from other board, Transfer Certificate should be countersigned by the Competent Authority.