Einstein Public School Admission form
    Pratapgarh City, Pratapgarh (U.P.)

    Student Information

    Class in which admission is sought for
    Session :

    Name of the child in full (in capital letters):

    Sex:             

    Male Female

    Date Of Birth

    Age of the student as on 31st March

    Blood Group of the child
    Do you belong to Gen./SC/ST/OBC/EWS/Disabled/S.G.Child? Attach certificate             

    Gen. Cat. SC           ST           OBC           EWS           Disabled           SG Child

    Details of parents : -

    Details of Mother/ Father

    Mother

    Father

    Name (In capital letters)

    Nationality & Occupation

    Name of office & full address with telephone no.

    Full residential address with tele. no.

    Permanent Address

    Annual Income in (Rs.)

    Name & Address of local guardian (if any) : Name & Address of the school last attended with class: Whether last school was CBSE affiliated : If the last school was not affiliated with CBSE, specify name of the board Result of last examination:         
    Percentage:     Subjects proposed to offer :        
    1:
    2:     3: 4: 5: 6: Whether the transfer certificate is attached

    YES NO           

    Home town:
    Mother tongue:        

    Declaration by the parents

    I hereby declare that the above information furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the vidyalaya.

    Date:

    Signature: