Pioneer school

Student Details

Name of the Pupil:

Date of Birth (Should be Supported by Birth Certificate)

Gender:

Male

Female

Age:

Religion:

Community:

Blood Group:

Aadhar Card Number:

Admission Details

Class to which Admission is Sought:

Mother Tongue of the Pupil:

Group Preferred(If Applicable):

Qualifying Examination:

School in which last Studied:

Board:

Percentage:

Whether Transfer Certificate attached?

Yes

Parents Details

Name of the Parent / Guardian:

Father Occupation:

Annual Income:

Mobile Number:

Alternative Mobile Number:

Residential Address:

Office Address:

Relationship to the Student:

General Details

Email Id:

Identification Marks:

Physical Disability if any? Yes No

Whether Allergic to Drugs? Yes No

Do you require School Transport? Yes No

If Yes,Boarding Point:

EMIS No:

Station:

Date:

Upload Documents

Upload Pupil Photo

Birth Certificate

Community Certificate

Transfer Certificate(If Applicable)

Signature of Parent

Note

Fees of any kind once paid will not be refunded under any circumstances.

Declaration

I ----------------- the parent/guardian of----------------- hereby declare that the all the particulars stated above are correct.I Understand the rules and regulations of the School and undertake that my son/daughter/ward shall abide by them if admitted.Fees of any kind once paid by me will not be requested for refund under any circumstance.

PIONEER
MATRIC HIGHER SECONDARY SCHOOL