Scribd
Upload
37 views

Enrolment Form (For Classroom Programs)

This document is an enrollment form for classroom programs that collects student information such as name, date of birth, address, parent details, education details, photograph, and documents required for admission such as school ID, marksheet, transfer certificate or bonafide certificate.

Uploaded by

Arush Singh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
37 views

Enrolment Form (For Classroom Programs)

This document is an enrollment form for classroom programs that collects student information such as name, date of birth, address, parent details, education details, photograph, and documents required for admission such as school ID, marksheet, transfer certificate or bonafide certificate.

Uploaded by

Arush Singh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Enrolment Form

(For Classroom Programs)

Enrolment Number (for official use only)


________________________________
Registration Number : _____________________
PHOTO
Study Centre : ____________________________ (TO BE PASTED HERE)

Program Name : ________________________________________________________________________

Program Code : _________________________________________________________________________

Scholarship Awarded % (if applicable) : _____________________

Student’s Name (in Block Letters) :


_______________________________________________________________________________________

Date of Birth : ________/_______/___________

E-mail ID : _________________________________________________

Mailing Address :
__________________________________________________________________________________________

__________________________________________________________________________________________

Pin : _______________________________ Contact No (Mobile) : ____________________________

Permanent Address:
__________________________________________________________________________________________
__________________________________________________________________________________________

Pin : _______________________________ Contact No (Mobile) : ____________________________

School/College Last Attended / Presently Attending :


_____________________________________________________________________

Address :
__________________________________________________________________________________________
__________________________________________________________________________________________
Pin : _________________________________

(a) Father‘s Name (in Block Letters) :_______________________________________________________

Qualification : ______________________________________________________________________________

Occupation : Business ( ) Govt. Service ( ) Pvt. Service ( ) Others (please specify) : _____________

Name of the Company / Office :


_______________________________________________________________________________________

Nature of Business / Job : ______________________ Designation : ____________________________

Contact No (office) : _________________________________________

Office / Business Address :


__________________________________________________________________________________________
__________________________________________________________________________________________

Pin : _______________________________

E-Mail ID : ________________________________ Mobile No : ___________________________


(b) Mother‘s Name (in Block Letters) : ___________________________________________________________

Qualification : ______________________________________________________________________________

Occupation : Business ( ) Govt. Service ( ) Pvt. Service ( ) Others (please specify) : _____________

Name of the Company / Office :


_______________________________________________________________________________________

Nature of Business / Job : ______________________ Designation : ____________________________

Contact No (office) : _________________________________________

Office / Business Address :


__________________________________________________________________________________________
__________________________________________________________________________________________

Pin : _______________________________

E-Mail ID : ________________________________ Mobile No : ___________________________

DETAILS OF THE EXAMINATION(S) OF THE CLASS LAST PASSED /


CURRENTLY STUDYING
Name of the Board Year of Total PCM / PCB/
Examination(s) passing / Aggregate Science +
appeared Marks (%) Math (%)

Items required to be submitted along with this form :

 Four identical passport size colour photographs of the student


 One stamp size photograph.
 Any one of the following documents :
a) Photocopy of School ID card with photograph
b) Photocopy of last Board or School Marksheet supported by any
Identity Proof of student
c) Photocopy of Transfer Certificate
d) Bonafide certificate issued by the Principal of School with
student’s photograph
 Original should be presented for verification at the time of admission.

You might also like