SUMMER FIELDS SCHOOL

Registration Form

Student Details

Child’s Name (in block letters):

Date of Birth (in figures): (T.C. from the recognized institution last attended and attested photo copy of Municipal Birth Certificate in case of admission to per- Nursery / Nursery / Prep should be submitted at the time of registration).

Admission sought in class:

Nationality of Child:

Parent Details

Father

Father’s Name (in block letters):

Educational Qualification:

Occupation:

Designation:

Office Address:

Office Phone:

Residence Phone:

E-mail Id:

Residence Add.:

Mother

Mother’s Name (in block letters):

Educational Qualification:

Occupation:

Designation:

Office Add.

Office Phone:

Mobile No.:

E-mail Id :

Residence Add.

Additional Information

Name Of School Attended(last attended with date):

Total number of classes in previous school:

Medium of instruction in previous school:

Hobbies of the Child:

Report card of previous class passed with all necessary academic and extracurricular result.

In case of mid-term admission, the term ending results.

Name and class of any real brother / sister presently studying in LT ATUL KATARYA MEMORIAL SCHOOL.

Name of the Child :

Admn. No:

Class / Sec.

The school will try to provide transport facility but offers no guarantee for a seat if the buses are full and crowded. Transport will be allocated on first come first serve basis. The buses will ply on the existing routes and stops will not be changed to suit individual’s convenience.

DECLARATION

I have read all the information regarding admission, fees and transport and I have understood fully that the school, on accepting registration fee and on registering the name, is not in any way bound to provide a seat, but the admission will be given only when a suitable VACANCY arises and student is found fit for admission to the school and that the fees deposited at the time of admission will not be refunded under any circumstances. Admission granted on the basis of false information may be cancelled at any time during the year and in that case security only will be refunded.