Registration Form

:+91 9555563225
gkdgps@gmail.com
Ranjitpur, Huzoorpur Road, Bahraich, Uttar Pradesh 271801

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 

Sibling Details

Sibling (Real Brother/ Sister) only studying in Guru Kripa Divine Grace Public School   
 
Admission No.
1. Sibling Name
 
1. Sibling Class
2. Sibling Name
 
2. Sibling Class
 

Student Details

Name of Child*
Academic Year*
 
Admission to class*
Gender*
 
Date of Birth*
Religion
 
Nationality
Blood Group
 
Email*
Mobile No.*
 
Mother Tongue
Category
 
Vision (L)
Vision (R)
 
Student's Photo (Max-2 MB)
Caste
 
Is your child suffering from any chronic disease/illness/Allergy/Disabilities which the school be aware of
 

Permanent Address

Address*
 
City*
 
State*
Pin Code*
 

Residential Address (Check this box if Communication Address and Permanent Address are same.)

 
Address
 
City
 
State
Pin Code
 
 

Father's Details

Father Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile No.*
 
Father's Age
Father's Photo (Max-2 MB)
 
 

Mother's Details

Mother Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
Mother's Age
Mother's Photo (Max-2 MB)
 

Other Details

Current School
Current Class
 
Medium of instruction of school
Board of affiliation (CBSE or ICSE or Other)
 
School Address
Class
 
Exam
Overall % / Grade
 
Write few lines about your child, in your own words
 
 
 

UNDERTAKING:

I hereby certify that the information is correct to the best of my/our knowledge and belief. Further I/we fully understand that if any information found to be false/incorrect, the admission of my/our word will stand canceled. I/we also understand that application for registration does not guarantee admission to my/our ward. if my /our son/ daughter is selected for admission, we hereby agree and give consent to abide by the rule and regulation of the school as applicable and amended from time to time.

 
 
I Agree