Arwachin Bharti Bhawan

ARWACHIN BHARTI BHAWAN
SENIOR SECONDARY SCHOOL
VIVEK VIHAR, NEW DELHI - 110095
Phones : 22141630, 22151630, 22151730

APPLICATION FOR REGISTRATION
(For Class XI)

PHOTO

Sl. No. ...........

Date ...................

1 a. NAME OF THE PUPIL (in block letters) .............................................................................................
b. DATE OF BIRTH (in figures) ................................................... (in words) .........................................
2 a. PARENT'S NAME ..........................................................................................................................
FATHER ................................................................................ MOTHER .......................................
b. FULL RESIDENTIAL ADDRESS (in block letters) ..................................................................................
TELEPHONE No. (RESIDENCE) ......................................... (OFFICE) .................................................
c. PROFESSIONAL/DESIGNATION
FATHER ............................................................................. MOTHER ........................................
d. MONTHLY INCOME
FATHER ............................................................................. MOTHER ........................................
e. OFFICE ADDRESS
FATHER ............................................................................. MOTHER ........................................
f. GENERAL EDUCATION
FATHER ............................................................................. MOTHER ........................................
3 a. NUMBER OF BROTHERS & SISTERS & THE POSITION OF THE CHILD AMONGST THEM
................................................................................................................................................
b. NAME OF BROTHERS & SISTERS STUDYING IN THIS SCHOOL
1.  ..........................................  2.   ........................................ 3.  ............................................
c. REAL BROTHERS & SISTERS IN ANY OTHER SCHOOL
1.  ..........................................  2.   ......................................  3.   ...........................................
4 IN CASE YOUR CHILD IS ADMITTED, WHAT KIND OF TRANSPORT WOULD YOU LIKE TO USE FOR
HER/HIS COMMUTING TO SCHOOL
           
SCHOOL BUS TAXI CAR AUTO BICYCLE WALKING
5  
a) Previous school Attended..............................................................................................................
 
6 Category

SC

 

ST

 

OBC

 

GEN

 

Handicapped:

Yes

 

No

 
 
DATE .............................
 
SIGNATURES
 
MOTHER ............................
 
FATHER ..............................

NOTES:

1 Application incompletely filled-in will not be entertained.
2 Admission is based on merit.