GREENLAND PUBLIC SCHOOL

	GREENLAND PUBLIC SCHOOL
	PREM NAGAR, HESAG,HATIA, RANCHI-834003 (An English Medium Co-Educational School) (Senior Secondary School, Affiliated to CBSE Delhi) Affiliation No. : 3430160, School Code : 66355.
		Student's Passport Size Photo
Form No:-.	ADMISSION FORM
	(Fill in the particulars in Capital Letters Only)

	1. Full Name of Student
	2. Sex (Male/ Female)	Male Female
	3. Date of Birth (In Figures)	(In Words)
	4. Full Name of Mother
	5 .Educational Qualification
	6. Occupation
	7.Occupation Address of Mother
		PIn No
	8. Annual Income				Mother's Passport Size Photo
	9. Contact Number
	10. E-mail Address
	11. Aadhar No.
	12. Full Name of Father
	13. Educational Qualification
	14. Occupation
	15. Occupation Address of Father
		PIn No.
	16. Annual Income
	17. Contact No.
	18. E-mail Address			Father's Passport Size Photo
	19. Aadhar No.
	20. Name of Local Guardian
	21. Educational Qualification
	22. Occupation
	23. Occupation Address of Guardian
		Pin No.
	24. Annual Income
	25. E-mail Address
	26. Aadhar No.
	27. Contact No.
	28. Nationality			Guardian's Passport Size Photo
	29. Religion	Hindu Muslim Christian Jain Baudh Sikh Others
	30. Category (a)	General OBC SC ST BC Others
	Category (b)	No (PHY Handicapped) Yes (PHY Handicapped)
	31. Class in Which admission Sought
	32.Name & Add. of School last Attended
		Pin No.
	33. Class	Nursery L.K.G. U.K.G I II III IV V VI VII VIII IX X XI XII 34. Session
	35. Percentage / CGPA Scored
	36. Document required (Only for Primary & Secondary Student)	i). TC ii). BC iii).Marksheet
	37. Permanent Address
		Pin No.
	38. Correspondence/ Local Address			Signature of Mother / Father
		Pin No.
	39. Person responsible for paying the school Fee
	40. School transport required	No Yes

Note :- Fill in the fields ( Only for Senior Secondary Student's.)

	41. Board
	42. Board Roll No.
	43. Document required	i). TC
		II).Marksheet
		III). Migration
	44. Stream Opted	PCM PCB COMMERCE
	45. A) Main Subject Opted	I). II).
		III). IV).
		V ).
		( I ) . English Core (301).    ( II ) . Mathematics (041)		Signature of Guardian
		( III ). Physics ( 042 ) ( IV) . Economics ( 030) (V). PHE (048)
		( VI ) . Business Studies (054)   ( VII ). Accountancy (055)
		( VII). Chemistry  ( 043 )        ( IX ). Biology ( 044 )
	B ) Additional Subject
		( I ). Hindi Core (302)    ( II ) Computer Science (083)

Declaration by Parents / Guardian
I do hereby assure that all information given above are true. In case any discrepancy is found later on, the Principal reserves the right to cancel the admission. In case of any change regarding above information's, I will immediately inform the Principal. I will stand with the school authority for any action taken by the Principal for the betterment of my ward. I also undertake to pay the school fees duly as prescribed by the school from time to time. I do hereby authorize the Principal to take any suitable action, whatsoever required for my ward.

Declaration Date :-

	For Office use only
	He/ She may / may not be admitted   In Class ...................................	Principal

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