Admission Form: Registration Class - Age Chart (In Years) On 1 April
Admission Form: Registration Class - Age Chart (In Years) On 1 April
3. Parents
FATHER MOTHER
Name : ………………………….................……………………..Name : ………………………….................……………………..
Educational Qualification : ……………...........…………… Educational Qualification : ……………...........……………
Profession/Designation : …………………………...……….. Profession/Designation : …………………………...………..
Office Address : ………………………………………….… Office Address : ………………………………………….…
……………………………………………………………….. ………………………………………………………………..
Ph/Mob. ……………....... Email : …………………………. Ph/Mob. ……………....... Email : ………………………….
Residence / Correspondence Address: ……………………. Residence / Correspondence Address: …………………….
……………………………………………………………..... …………………………………………………………….....
Ph. (Res) : ………………. School Alumni : ……….……… Ph. (Res) : ………………. School Alumni : ……….………
(if yes give year) (if yes give year)
Annual Income:……………………………………….…. Annual Income: ………………………………………….….
Combined Annual Income :
4. Transportation
UNDERTAKING :
1. I wish that my son/daughter be admitted to EAST POINT SCHOOL run by EAST POINT EDUCATION
SOCIETY. I undertake to abide by all the school rules and regulations regarding payment, withdrawals, leave
etc.
2. My Son/daughter will follow the high standard of discipline of the school and attend classes in proper school
uniform / else I will have no objection to the penalty imposed by the school.
3. I understand that a school bus is provided only as a convenience. I undertake not to demand for change in the
existing bus routes and understand my ward will travel by the school bus at his/her own risk.
4. I undertake to give one month’s notie prior to withdrawal of my ward.
5. I understand to produce the following documents during the time of admission.
1. Nursery to Class I
(A) Birth Certificate Copy (B) Residence Proof (C) Photographs of Child
(D) Vaccination / Medical record
2. Class II Onwards
(A) Transfer Certificate & Marksheet Copy (B) Photographs of Child (No. ___)
(C) Medical / Fitness Certificate
6. I/We hereby certify that the above information provided by me / us is correct and I/We understand that if the
information provided is found to be incorrect or false, the ward shall be automatically debarred from the
selection / admission process without any correspondence in this regard. I/We also understand that the
application / registration short listing does not guarantee admission to my ward. I/We accept the process of
admission undertaken by the school and I/We will abide by the decision taken by the school authorities.
Incomplete forms will be summarlly rejected.
7. As Per Rules No. 167 of DSER acts and rules 1973 which states “that if a student omits or fails to pay the
fee and contributions due to a school together with the fine due the thereon by the last working day of the month
in which they are due, his/her name shall be struck off the rolls of the school on the fast working day of the
month and may be readmitted on payment of all the school dues including fresh admission fee”.
Name of Father ______________________ Name of Mother _____________________ Date ______________
Registration No.
Receipt No.
Date
Signature