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Registration Form

This document is an admission form for a Mathematics Olympiad Workshop scheduled from May 23 to May 30, 2025. It requires personal details of the student, including name, date of birth, addresses, parents' information, academic records, and participation in previous Olympiads. The form also includes a declaration section and requires two passport-sized photographs and a copy of the last marksheet.

Uploaded by

Sumedha Tripathi
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
2 views

Registration Form

This document is an admission form for a Mathematics Olympiad Workshop scheduled from May 23 to May 30, 2025. It requires personal details of the student, including name, date of birth, addresses, parents' information, academic records, and participation in previous Olympiads. The form also includes a declaration section and requires two passport-sized photographs and a copy of the last marksheet.

Uploaded by

Sumedha Tripathi
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ADMISSION FORM

23rd to 30th May, 2025 (Mathematics Olympiad Workshop)

Class studying in ___________________ Hostel  Day Boarder 


1. Name of student (IN CAPITALS) : ______________________________________________

2. Date of Birth Day  Month  Year 


3. Father’s / Mother’s Name : __________________________________________________
4. Address for correspondence (IN CAPITALS) ______________________________________________________
Affix Two
_________________________________________________________________________________________
Passport size
5. Permanent Address (IN CAPITALS) _____________________________________________________________
Photograph
_________________________________________________________________________________________
6. Occupation of Father / Mother _____________________ Mobile No. ________________________________

Phone No. (Residence) : __________________________ Phone No. (Office) : _________________________


7. Email ID __________________________________________________________________________________
8. School Name ______________________________________________________________________________
Last year Academic Record to be Mentioned
Grade / Percentage obtained Remarks
Class
English Mathematics Science
th
IV
Vth
VIth
th
VII
VIIIth
IXth
Xth
XIth
XIIth

Have you participated in any National / International Olympiad (Yes  / No  ); if yes, name of the Olympiad
you participated in :

S. No. Name of the Olympiad Year Position Grade Rank Obtained

Note : Enclose 2 passport size photo and last marksheet copy.


I hereby declare that all the particulars furnished above are true to the best of my knowledge and belief.
Cheque No. __________________________ Bank __________________________ Date : ___________________
Date : ____________ Place ____________

(Signature of Parents / Guardian) (Signature of Student)

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