Veena Memorial Sr. Sec. School Karauli

If You Have Registration No: Print

INSTRUCTION :-

*This is an application for registration only and does not gurantee any right /claim for admission)

*Please fill the form in BLOCK LETTERS and do not leave any column blank

Admission Sought in class:			* Select Class

School Last attended:			* Fill Last School Name

Date Of Birth:			* Fill Date (dd/mm/yyyy)

Affiliating Board:			* Fill Afflicate Board

Name of Child:
		First Name* Fill First Name	Middle Name	Last Name

Gender:			* Select Sex

Mothers Name:			* Fill Mother Name

Fathers Name:			* Fill Father Name

Local Address:				* Fill Permanent Address

Mobile Number:			* Fill Mobile (Only 10 Digit)

Official Address of Father:				* Fill offcial Address

Occupation:			* Select Occupation
Undertaking by the parents I certify that all the information provided is true to the best of my knowledge. I shall submit all the required documents in support of the submissions, provided my ward is shortlisted for admission. I agree to the condition that, if the above mentioned facts are found to be incorrect, my child will be disqualified for admission in Vidyalaya.

I agree to Terms & Conditions*	* Check the Term & Condition