L I T T L E K I N G D O M

Mehrun Lake Side, Teresa Nagar, Sirsoli Road,
Jalgaon-425102(M.S.) TEL:- 0257-2262139
APPLICATION FOR ADMISSION


SNO. Session :2022–2023 G.R.No. Search

1. Details of Candidate
For School:
Name of the candidate:    
Surname *
Name *
Father Name *
Email Id *
Gender  
Date of Birth (In figures) *
(In words) *
Place of birth  
Mother Tongue  
Religion: , Caste: (attach copy of caste certificate)
Nationality  
Aadhar Card No  
Standard in which admission is sought : *
Full residential address:    
(Add1)  
(Add2)(Locality, Post Taluka)  
(Add3)(Dist, PIN)  
Medical History:    
Blood Group
Any difficulty observed in hearing/vision/ Motor activities
If any please mention here  
2. Details of Parent (Father):
Name *
Academic Qualification *
Occupation & Designation *
Name of present company/Concern working *
Full office address  
Mobile No  
3. Details of Parent (Mother):
Name *
Academic Qualification *
Occupation & Designation *
Name of present company/Concern working *
Full office address  
Mobile No  
4. Details of Guardian ( If applicable):
Name  
Religion  
Full residential address  
Telephone Number , Mobile No  
5.  Brothers/Sisters studying in this school [attach photocopies of ID cards] :
 
Name
Standard
 
 
 

1. I hereby confirm and declare that the data given about my ward is correct.
2. I assure you to follow the rules and regulations given in the prospectus.
3. I do undertake to follow them in the event of my application being considered favourable .
4. I also undertake to abide by the other rules, which may come up from time to time as modifications of the existing one, or additions to the same, according to the discretion of the management and I further undertake to pay the fee.
5. I hereby undertake that I will pay the fees of the school /college and accept the revisions of the fees that take place from time to time with the approval of the PTA or as declared by the Management under Section6(1)(A) of the Mah Educational Institution Regulation of Fee Act 2011.

Kindly admit my ward.

Signature of the Parent:

Date: