The Genius English Medium High School

Personal Details (FILL IN BLOCK LETTERS)

(*) MARK FIELDS ARE MANDATORY TO BE FILL UP

1. Name Of the Applicant Miss/Master (FILL IN BLOCK LETTERS):

2. Father's Name :

Qualification :

Occupation with Office Address and Designation :

3. Mother's Name :

Qualification :

Occupation with Office Address and Designation :

4. Guardian's Name & Address(if other than father)

5. Permanent Home Address At :

Po :

Dist :

State :

Pin :

6. Present Home Address :

7. Family's approximate annual income :

8. Category-Gen/ST/SC/PH/OBC :

9. Contact No : Residence :

Office :

Cell (F) :

Cell (M) :

10. Mode Of Conveyance to School : School Bus (Area-)/ Private Vehicle / Personal Vehicle

C. Student Details

1. Date Of Birth (in figures):

Age as on 01.04 :

(Year):

2. Male / Female :

3. a. Blood Group :

b. Height :

b. Weight :

4. Adhar Card No. :

(Attach the Photocopy)

5. If transferred from the other school provide the U-dise code No. :

6. Name & Address of the School last Attended :

7. Board from which last appeared (CBSE/ICSE/BSE) :

8. Total Marks secured / Full Marks % :

9. Whether own brother / sister studying in this school? If yes, give details

Name :

Class :

Sec :

R. No. :

I, Miss/Master. hereby declare that the particulars furnished in this form are true to the best of my knowledge. I also promise that I'll abide by the rules and regulations of the school.

All Pages

K PRASHANTHA VADHANA

FOUNDER / PRINCIPAL / SECRETARY GENERAL

LIMS Educational Society's

The Genius English Medium High School

REGISTRATION - CUM - ADMISSION FORM

PRE-PRIMARY

PRIMARY

HIGH-SCHOOL

Personal Details (FILL IN BLOCK LETTERS)

Date Of Application :

Birth / Leaving Certificate of Applicant

Aadhar Card of Applicant

Photo of Applicant

Signature of Applicant

Caste Certificate of Applicant (Optional)

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