LITTLE FLOWER PUBLIC SCHOOL

 

                                 AL -  Madina Education Educational And Welfare Trust  (R)

 
   LITTLE FLOWER PUBLIC SCHOOL

                                    (Recognized by Govt. of Karnataka Reg. No. 28/2014-15

 

Affix Student Photo

 
                                        BASAVAKALYAN – 585330  DIST. BIDAR

 

 

 

ADMISSION FORM

 
 

 

 


DETAILS OF LEARNER:

Name of Student:

(in Block letters)

 

Date of Birth

DD\MM\YYYY

 

 

 

Year Term Applying for

Year

 

Term

Year

Gender

Entry to the class:

 

Boy

Girl

 

PARENT/ GUARDIAN DETAILS:

 

Father

Mother

Surname

 

 

First Name

 

 

Qualification

 

 

Home Telephone

 

 

Cell No

 

 

 

OTHER PERSONAL DETAILS OF LEARNER :

Nationality

 

Place of Birth

 

Mother Tong Language

 

Religion & Cast

 

Name of School Last Studied

 

No. of Brothers

 

No. of Sister

 

 

 

 

 

 

 

 

 

ADDRESS DETAILS:

 

 

Residential Address :

 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

Postal Address :

 

 

 

 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

            The above given information regarding to admission is true & Correct on behalf of my knowledge.

I know the rules and regulation, Syllabus, fees structure, of  MADINA PUBLIC SCHOOL HUMNABAD.

So I agree to take the admission of my child.

 

 

 

           Signature

Date: _________________                                                                                 Parents/ Guardian

Place _________________

 


FOR OFFICE USE ONLY :

Received on :

 

Documents Received:

 

Learner’s Birth Certificate:

 

Proof of Residence:

 

Admission for the Class:

 

Accepted (Yes/ No) :

 

 

Kumar/ Kumari ____________________________ S/o _____________________________

Admission is taken for  ______________________ Class for the Year