PannaiSchool

Admission no:

Admission date: 02-05-24

Affix photo of Father

Affix photo of Mother

Affix photo of Child

Information of the student

Name :

Date of birth :

Blood Group :

Religion :

Mother Tongue :

Gender :

Male

Female

Date of Birth in words :

Nationality :

Caste :

Languages known :

Community :

MBC

OBC

Others

Residential Address Address

Father's Mobile No

E-mail ID

Correspondence Address Address

Mother's Mobile No

E-mail ID

Note: IN CAPITAL LETTERS ONLY

Distance from school (in kms)

Preferred Phone No. for school SMS

Emergency Contact No, (Resi/Mobile)

Name of the person to be contacted

Relationship

Family Information

Father

Name

Age

Nationality

Educational Qualification

Institution

Office Address

Designation

Annual Income

Telephone

Mother

Name

Age

Nationality

Educational Qualification

Institution

Office Address

Designation

Annual Income

Telephone

Guardian

Name

Relationship

Cell

Details of Brother / Sister of the Student

Name

Age

Standard

Name of the Institution

Incase of Staff ward

Name of the Parent

Does the Student have any major ailment(s), including any allergy that the school should be aware of?

Details of Previous Study

Year	School	Standard	Grade/Marks Obtained

Awards won so far in sports, arts or academics

Enclosures

1. Birth Certificate (Xerox): 2. Transfer Certificate-Original Copy (If Applicable): 3. Blood Group Report: 4. Passport Size Photo of Child (10 Copies): 5. Family Photos (2 Copies): 6. Aadhar Card copy of parents/child - xerox: 7. Copies of Progress report cards for the latest year (If applicable): 8. Community certificate: For scheduled Castes, Scheduled tribes or Backward Communities: 9. Transportation form(If Required): 10. Parents Signature:

Declaration

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

Application Form

Note: IN CAPITAL LETTERS ONLY

Father

Mother

Guardian

Pannai

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