Student Registration Form

Modern Public School, Bulandshahr

Affiliated to C.B.S.E New Delhi Co-educational School, Affiliation Number : 2131326
Note : Dear Student/Parents this form is used for New Admission only. Existing student please don't fill this form.
Student's Latest Color Photograph

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Photograph Should be Less than 2MB Cancelof
Father's Latest Color Photograph

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Mothr's Latest Color Photograph

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Student Name
Birth Date

MonthDayYear
Gender
Religion
Caste
Category
Mother's Name
Mother's Occupation/Qualification
Mother's Phone Number

Area CodePhone Number
Father's Name
Father's Occupation/Qualification
Father's Phone Number

Area CodePhone Number
Guardian's Name
Father's Occupation/Qualification
Guardian's Number

Area CodePhone Number
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of the School Last Attended and Class
Class in Which Admission is Sought
Details of Brother(s)/Sister(s)
Any other Information(s)
Should be Empty:

Modern Public School, Bulandshahr