CARDINAL PADIYARA PUBLIC SCHOOL, MANIMALA
(Affiliated to C.B.S.E. No. 930507)
APPLICATION FOR ADMISSION
Form - 3
See Rule VI - 1(1)
1 Name of Pupil(initials to be given at the end) :
2 Name of parent or guardian and his relationship with the student :
3 Occupation and address of parent or guardian with Phone No. :
4 Name,Addres and occupation of local guardian in case the pupil does not live with his / her responsible guardian with Phone No. :
5 School previously attended with time in each standard :  
  Name of the school Standard Date of Admission Date of leaving
 
6

{a)Date of Birth in figures and words

(b)Whether certified extract from Register of birth has been produced(Vide Rule VI)

 

 :
7 Age on date of application(In words) :
8 Community and religion :
9

Nationality and State to which the pupil belongs

 :
10 Does the candidate belong to the scheduled cast :
11 Standard to which the admission in sought(In words) :
12 Mother tongue of the Pupil :
13 No. and date of transfer certificate produced on admission :
14 Date of vaccination :
15 Permanent bodily marks of identification :

I guardian of do hereby declare that the particulars entered in the form are true to the best of my knowledge and belief and also that i have read the rules of discipline of the school and that i under take that my ward/son will abide by them. I further declare that the date of birth of my ward/son given above is correct and that i will not apply in future for the correction of date of birth and if necessary shall produce the copy of the birth certificate.

Date :

Station :