In words

Place of Birth Nationality Religion Mother Tongue SexM F

Address Address

Tel (O) Tel (O)

Tel (R) Tel (R)

Fax Fax

E-mail E-mail

Profession Profession

Position Position

Company & Company &Address Address

Annual Income Annual Income

Details of previous schooling

Year School Class Grades/marks obtained in Final Exam

2010 - 2011 Eng Hindi Math Science

2011 - 2012 Eng Hindi Math Science

2012 - 2013 Eng Hindi Math Science

FOR OFFICE USE

Remarks_________________________________________________Class______________________

Place: Bangalore

Date : PRINCIPAL

. Copy of marks cards of the last 3 years and the birth certificate should be enclosed.

. Incomplete forms will be rejected.

Does your child have any disability (Yes/No) Siblings (School & class studying in)

Any evidence of learning disability (Yes/No) Mode of transport Private/School bus

Details of Parents

Father : Mother :

Name Name

NATIONAL PUBLIC SCHOOL RAJAJINAGAR, BANGALORE Application for Registration only

Name of the Pupil Date of birth Class:(in Block Letters) In figures Year: 2013 - 14

-2-

* If an intimation is not received by end of January 2013, it should be presumed that there is no vacancy

during the year and no separate intimation is sent to the candidates not selected.

I have read the rules and regulations of National Public School and I fully agree to abide by them as

long as my child is a student there.

* applicable only to K G I & Montessori

Signature of the Student Signature of Father Signature of Mother

Additional information for Grade XI and XII :

An annual fee increase of 10 to 15 percent is effective to offset the increasing expenditure by way of salary, maintenance, material expenditure etc . National Public School is a private self-financing institution.

Registration for admission does not ensure an admission. Admission is granted on merit and availability of seats. Entrance test for classes II to IX and XI is conducted before granting admission.

Subjects offered : Optional Subjects selectedLanguage: English or English literature (Compulsory)2.a. Math, Physics, Chemistry, Biology2.b. Math, Physics, Chemistry, Biotechnology2.c. Math, Physics, Chemistry, Computer Science