CHILDREN'S ACADEMY

VIJAY NAGAR
GHAZIABAD
Ph: 8447751209
Email: childrensacademy.1985@gmail.com
Website: childrensacademy.org.in

REGISTRATION FORM FOR ADMISSION (2020-2021)

CLASSES NURSERY to IX & XI


PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE REGISTRATION FORM


1. Parents are requested to fill up the form carefully. Any change in Date of Birth, Father’s Name and Mother’s Name later wil not be appreciated.
2. I/We certify that my/our son/daughter is not suffering from any contagious disease. The same will be intimated to the school, in case it occurs in future during the course of study of my ward in school.
3. I/We hereby undertake to pay fees and other charges (if any) of my/our ward on time, failing which my/our ward’s name may be struck off the school rolls.
4. I/We understand that the school buses will ply only on existing routes.

STUDENT'S FIRST NAME:  
STUDENT'S MIDDLE NAME:
STUDENT'S LAST NAME:

APPLIED CLASS:
 
GENDER:  
CATEGORY (TICK WHICHEVER IS APPLICABLE):  
DATE OF BIRTH:  
DATE OF BIRTH (IN WORDS):

AGE AS ON (31st MARCH,2020):
PLACE OF BIRTH:
NATIONALITY:  

BLOOD GROUP:  
RELIGION :  
STUDENT AADHAAR CARD NO. :  
MOTHER TONGUE:

FATHER'S NAME:  
FATHER'S MOBILE NO.  
Father's Qualification
Father's Aadhaar No.
Father's Profession
Father's Designation
Father's Office address
Father's Email
Father's Office No.
Father's Income

MOTHER'S NAME:  
MOTHER'S MOBILE NO.  
Mother's Qualification
Mother's Aadhaar No.
Mother's Profession
Mother's Designation
Mother's office address
Mother's Office No.
Mother's Email
Mother's Income

Guardian Image*
NAME OF GUARDIAN (Opt.).
Guardian's Qualification
Guardian's Profession
Guardian's Designation
Guardian's Phone No.

RESIDENTIAL ADDRESS (PRESENT):  
Same as present
RESIDENTIAL ADDRESS (PERMANENT):  
STATE:
HOME (LANDLINE IF ANY).

HOUSE TYPE:  
SCHOOL ALUMNI (ONLY CLASS XII PASS FROM CHILDREN'S ACADEMY):
 
A) ADMISSION NO.:
B) ALUMNI NAME:
C) YEAR OF PASSING:

SIBLING OF THE STUDENTS STUDYING IN CHILDREN'S ACADEMY:  
A) ADMISSION NO.:

B) NAME OF CHILD (SIBLING):
C) CLASS/SEC:
D) FATHER NAME:
E) MOTHER NAME:

SINGLE PARENT:  

TRANSPORT: IS THE SCHOOL TRANSPORT REQUIRED? (TICK WHICHEVER IS APPLICABLE)  

DISTANCE FROM SCHOOL (IN KM):

PREVIOUS SCHOOL DETAILS:
SCHOOL NAME:
CLASS PASSED:
YEAR:
PERCENTAGE / GRADE OF MARKS OF LAST EXAMINATION:

PERCENTAGE OF MARKS OF LAST EXAM:
ENGLISH:
HINDI:
MATHS:
SCIENCE:
SANSKRIT:
S.STUDIES:
COMPUTER:




Student Image*
Mother Image*
Father Image*

WE HEREBY CERTIFY THAT THE ABOVE INFORMATION PROVIDED BY US IS CORRECT AND WE UNDERSTAND AND ACCEPT THAT IF INFORMATION IS FOUND TO BE INCORRECT OR FALSE, OUR WARD SHALL BE AUTOMATICALLY DEBARRED FROM SELECTION/ADMISSION PROCESS WITHOUT ANY CORRESPONDENCE IN THIS REGARD. WE ALSO UNDERSTAND THAT THE APPLICATION/ REGISTRATION / SHORT LISTING DOES NOT GUARANTEE ADMISSION TO MY WARD. WE ACCEPT THE PROCESS OF ADMISSION UNDERTAKEN BY SCHOOL AND WILL ABIDE BY THE DECISION TAKEN BY THE SCHOOL AUTHORITIES.