Application & Registration Form

Name of the Candidate
 
(Master/Miss):  
*
Class in which admission is desired :   *

Date of Birth:

*
Place of Birth:   *

Age on the date of Application:

*
Nationality:   *

Mother Tongue:

*
Permanent Home Address:   *

Address of Correspondence:

*

Phone No. (Office)

*

Phone No (Residence)

*
Father’s Name: *
Nationality:   *

Education:

*

Occupation/Designation:

*

Business Address:

*

Phone No:

*

Mother’s Name:

*

Nationality:

*

Education:

*

Occupation/Designation:

*
Name & Ages of  real Brothers & Sisters (studying in this school) if any:   *
Name & address of the School last attended:   *
Any information regarding the child’s health (Special Medical Conditions, allergies etc.):   *
Information regarding extra curricular activities :   *

      

Declaration:    I agree to abide by the rules and regulations regarding the student’s attendance discipline laid down by the school, pay the fees and allied charges as indicated in the Fees Schedule for the academic session, and submit three months notice to the Principle, for withdrawal of the child, otherwise will pay one quarter’s fees in lieu of notice.

I accept:                      

Date:

P.S:                       Application form will not be effective unless accompanied by the following documents.

a)       Birth Certificate in Original

b)       Transfer certificate from previous school (if applicable)

c)       Character Certificate (Class Vth onwards)

d)       Medical Fitness Certificate including  BLOOD GROUP

e)       Two copies of color  photograph

f)        Mark sheet & Academy Transcripts from the school last attended.

 

The above documents need to be sent along with the registration fee of US$50.00 for foreign students and Rs.1000.00 for Indian Nationals, by Bank draft in favor of LITTLE FLOWER SCHOOL, following which the application shall be processed. This form is not a guarantee of admission. The final decision rests with the School’s Admission Committee.