Student Admission Form

Nation Public School

Address : Behind Ram Vihar Colony, Jwarkhera Sampark Marg, Shikarpur Road, Bulandshahr (U.P.) INDIA
Class in which admission is sought for :
Select Class in which admission is sought for
Student's Photograph

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Student Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Sex
Age of the Student as on 31 March 2025

YearMonthDay
Blood Group
Select Blood Group
Category
Select Category
Father's Name

First NameLast Name
Nationality
Father's Nationality
Occupation
Father's Occupation
Mother's Name

First NameLast Name
Nationality
Mother's Nationality
Occupation
Mother's Occupation
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Father's Mobile Number

Area CodePhone Number
Mother's Mobile Number

Area CodePhone Number
Name & Address of the School Last Attended with Class
Whether The Last School was CBSE Affiliated
If, the last school was not Affiliated with CBSE, Specify Name of the Board
Result of Last Examination
Percentage of Last Examination
Subject Proposed to Offer
Any Other Information
Should be Empty:

Nation Public School