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: