Application Form – SSR DISCOVERY SCHOOL

Madhavnagar, Nizamabad, Telangana State. 9247004483/84

An Institute Of Holistic Learning

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APPLICATION FORM

Admission information

Photo

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Name of the Student *

DOB

Mother’s Name *

Father’s Name *

Gender

Male Female

Identification Marks

Father’s Educational Qualification & Profession *

Mother’s Educational Qualification & Profession *

No. of Children

Serial order of the child in the family

Educational Qualification of the Children in the Family

Name *

Qualification *

Does anybody speak English in the family?

Yes NO

Appropriate distance between the school and home

The child likes (as per the observation of the parents)

Games

Painting

Singing

Dancing

Name of the Family Doctor and address with phone no.

Habits of the child

Name and Grade of any other student that you know better in the school

Name of the Student *

Caste (for statistics purpose only) *

Mother tongue *

Address for communication

Present Address

Permanent Address

Office Address

Mobile No *

E-mail *

Proposed Second Language

Hindi Telugu

Parent Declaration

I am here with declaring that I have known the complete information of the school, curriculum, school fees and school fee payment schedule. I shall abide by the rules and regulations of the school and I promise to pay the school fee in scheduled time. Any disputes in jurisdiction of Nizamabad courts only.

Date:

Parent’s Signature *

Student’s Signature *

Office Use Only

Application form

Admitted Rejected

Reason for rejection

Office In-charge / Administrative Officer

Signature of the Principal

Enquiry