Registration Form

	ST. FROEBEL SENIOR SECONDARY SCHOOL A-3 Block, Paschim Vihar, New Delhi-110063 +91-11-25251261, +91-11-25287844 Email: info@stfroebelschool.com
	REGISTRATION FORM FOR ADMISSION 2020-21

	Registration No: etpl:registration_no

Student Photograph	Mother Photograph	Father Photograph

SIBLING DETAILS:
Sibling (Real Brother/ Sister) only studying in ST. FROEBEL SENIOR SECONDARY SCHOOL : etpl:is_sibling
Admission No.: etpl:sibling_enrollment	Sibling Name: etpl:sibling_name
Sibling Class: etpl:sibling_class	Pin Code: etpl:pin

GENERAL INFORMATION:
I/We are considering enrolment in Grade/class : etpl:__ufdkey__res_iweare
With effect from: etpl:__ufdkey__res_efct
Have you ever applied for admission at St. Froebel School : etpl:__ufdkey__res_evrapp
If Yes, when ? Academic Year: etpl:__ufdkey__Res_ifysac	for which Class: etpl:__ufdkey__res_forwc

STUDENT'S DETAIL:

First Name

: etpl:firstname

Middle Name

: etpl:middle_name

Last Name

: etpl:lastname

Date of Birth

: etpl:dateofbirth

Nationality

: etpl:nationality

Admission sought in class

: etpl:classname

Mother Tougue

: etpl:mother_tongue

Category

: etpl:category

Language Spoken at home

: etpl:__ufdkey__res_langsp

Gender

: etpl:gender

Resd. No

: etpl:__ufdkey__res_rno

Mobile No.

: etpl:mobileno

Emergency Contact No.

: etpl:__ufdkey__res_Ecn

E-mail Address

: etpl:emailid

Mailing Address (If Different)

: etpl:__ufdkey__res_mailadrrr

PERMANENT ADDRESS:
Address : etpl:address
City: etpl:city
Country : etpl:country	Pin Code: etpl:pin

HEALTH INFORMATION:

Allergy/ Chronic ailment (if any) : etpl:is_allergies_applied

Physical handicap/ disability (if any) : etpl:__ufdkey__res_phydis

Any other health problem : etpl:__ufdkey__res_aohp

EDUCATIONAL INFORMATION:
Name of the present School attending : etpl:currentschoolname
City/State : etpl:__ufdkey__res_ctstt
Country : etpl:__ufdkey__Res_coun
From : etpl:__ufdkey__res_from	To : etpl:__ufdkey__res_to
Reason for leaving : etpl:__ufdkey__res_rfl
Has the child ever been Expelled/Rusticated/Not promoted to next class by any school: etpl:__ufdkey__res_expellrus
If Yes please give details: etpl:__ufdkey__res_plsgvd

PARENT'S DETAIL:

Mother's Information:

Mother's Name

: etpl:mother_first_name

Age

: etpl:mother_age

Nationality

: etpl:__ufdkey__res_mnatl

Education / University

: etpl:__ufdkey__res_fedu

Profession / Occupation

: etpl:motherprofession

Gross Annual Income

: etpl:motherannualincome

Office address

: etpl:motherofficeaddress

Telephone

: etpl:__ufdkey__res_mttn

Mobile No.

: etpl:mothermobileno

E-maill

: etpl:mother_email

Fax

: etpl:__ufdkey__res_motherfxn

Father's Information:
Father's Name	: etpl:father_first_name
Age	: etpl:father_age
Nationality	: etpl:__ufdkey__res_fnlt
Education / University	: etpl:__ufdkey__res_fedu
Profession / Occupation	: etpl:fatherprofession
Gross Annual Income	: etpl:fatherannualincome
Office address	: etpl:fatherofficeaddress
Telephone	: etpl:__ufdkey__res_fttn
Mobile No.	: etpl:fathermobileno
E-mail	: etpl:father_email
Fax	: etpl:__ufdkey__res_ffnn

GUARDIAN'S INFORMATION::

Guardian Name : etpl:__ufdkey__res_guarn

Relation with Child : etpl:__ufdkey__res_rwc

Are Parents living together : etpl:__ufdkey__reg_areprntl

OTHER RELATIVES' INFORMATION (REAL BROTHER / SISTER)
Name	Age		School attending/ attended
etpl:__ufdkey__res_rbname	etpl:__ufdkey__res_brthrage		: etpl:__ufdkey__res_schatt
etpl:__ufdkey__res_sisname	etpl:__ufdkey__res_sisage		: etpl:__ufdkey__reg_sisschlatt
Relative who are studing/have studied in St. Froebel School :etpl:__ufdkey__res_rwrsh
Name :etpl:__ufdkey__res_relname		Class :etpl:__ufdkey__res_rclass
Year of Joining :etpl:__ufdkey__res_yofjoin		Relationship :etpl:__ufdkey__reg_rltnship

ALUMNI OF S.F.C (CLASS XII PASS OUT STUDENTS OF S.F.S):
Alumnus- Father: etpl:__ufdkey__res_alufat
Year of Passing (If Yes) etpl:__ufdkey__res_yopass	C.B.S.E Roll No. (If Yes) etpl:__ufdkey__res_cbsernyes
Alumnus- Mother : etpl:__ufdkey__reg_alumother
Year of Passing (If Yes) etpl:__ufdkey__reg_yopassingmthr	C.B.S.E Roll No. (If Yes) etpl:__ufdkey__reg_cbsemthryear

REFERENCES :
Name :etpl:__ufdkey__res_refnmane	Designation :etpl:__ufdkey__Res_refdesgn	Telephone :etpl:__ufdkey__res_refrtlphn
Address :etpl:__ufdkey__res_reffadrss
City / State :etpl:__ufdkey__res_ctstate	Pin :etpl:__ufdkey__res_refrncepinc
Name :etpl:__ufdkey__reg_refernncnme	Designation :etpl:__ufdkey__reg_Refdsgn	Telephone :etpl:__ufdkey__reg_refrtlpnn
Address :etpl:__ufdkey__Reg_refadd
City / State :etpl:__ufdkey__reg_refctstt	Pin :etpl:__ufdkey__reg_refpincde

TRANSPORT:

School bus facility required ? : etpl:__ufdkey__res_sbfreq



Date:etpl:registrationdate	Signature of Father	Signature of Mother