CoorgPublicSchool

Registration for the year in Standard Indian/ NRI/ Foreigner

Candidate's Information:
	Name of the Pupil in full (Block Letters):
	Nationality:	Indian NRI Foreigner
	Sex:	Male Female
	Date of Birth :
	Mother Tongue:
	Caste:
	Religion:
	Belongs to SC / ST / BC:	Yes No
	Name of the present school & address:
	Standard in which the pupil is studying:
	Standard in which admission is sought:	and academic year
	Does the candidate have any learning disability:	Yes No
	If yes, please give details:
	First Language:
	Second Language:
	Third Language:	(for PUC not applicable)
	Mobile no.
	E-mail id:
II Parent Information:
	Father's Name:
	Occupation:
	Qualification:
	Mother's Name:
	Occupation:
	Qualification:
	Postal Address for all Correspondence:
	E-mail id:
	Telephone No. Office :
	STD Code:
	Exchange:
	Residence:
	Name & Address of Local Guardian if any:
	Emergency Contact: Name:
	Relationship:
	Telephone: Home Office / Business
	Please provide any other information which may be useful to us in considering this application:
	Your application will be accepted only after we receive Rs. 1000/- for Indian’s and Rs.2,000/-for NRI ‘s in the form of D.D./Cash towards registration fee, but your application will be in queue.
	Date: Name & signature of Parent / Guardian