info@prestige.com
+91 4952 332 531
prestigeschool.in
Pattelthazham, Calicut-673 007
Prestige Public School
Senior Secondary School
Affiliated to C.B.S.E to Delhi-Regd.No.930314
Application for Admission:
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1.
Name of pupil
(in block letters)
2.
Gender : Male / Female
3.
Nationality
4.
Date of Birth / (A) In figures
(B) In Words
5.
Mother Tongue
6.
Religion & Caste
7.
Aadhaar No:
8.
Details of Parents:
Name of Father:
Name of Mother:
Occupation:
Occupation:
Education Qualification:
Education Qualification:
9.
Annual income of family
10.
Address of parent / Guardian (please Furnish Full Postal Address With Pin Code Number)
FATHER
A).
Permanent:
Mobile:
MOTHER
Permanent:
Mobile:
GUARDIAN
Permanent:
Mobile:
B).
Official (if Working abroad please give the abroad address)
Email:
Phone:
Mobile:
Email:
Phone:
Mobile:
Email:
Phone:
Mobile:
C).
Address for Communication please tick mark
A
B
11.
Details of School attended last
Name of the school
Class
Medium
Year of Study
12.
No. & Date of Transfer Certificate:
13.
Identification marks:
14.
Blood Group:
15.
Details of brothers/sisters studying in the school:
Name:
Name:
Class:
Class:
16.
Copies of the following documents must be attached with the application form:
1. Mark statement
2. Transfer Certificate
3. Conduct Certificate
DECLARATION BY PARENT / GUARDIAN
I Undertake that my ward will abide by the rules and regulation of the school.I also Undertake to pay all the fees fixed by the school from time to time. I declare that the particulars given above are true and correct
Place:
Date:
Name & Signature of the parent / Guardian:
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