Mera School Centre Application Form

Mera School Centre Application Form

New Centre
Name*

First NameMiddle NameLast Name
Gender*
Marital Status*
Date of Birth*

MonthDayYear
Date
Place of Birth*
Email*
example@example.com
Phone Number

Area CodePhone Number
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Photo ID Type*

Aadhar CardVoter's ID cardDriving LicencePassport
Upload your ID picture Here*

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State Applied For*
Referred by
Name of Last College / School Attended
Address of Proposed Mera School Centre*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Photos of Proposed centre and locality.*

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Highest Qualification*
Upload here your latest colour photo*

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Please provide any academic achievements or awards you have received in College (if there is any)

I certify that the information I have provided above are true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation. I am aware that any false, misleading, or deceptive information provided may lead to withdrawal, expulsion, or any disciplinary action which may be dealt with by the Parents Pride Foundation authorities.
Applicant's Signature*

Clear
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty: