Admission Form

LIFE AT LITTLE FLOWER HOUSE

Class in which admission is sought for.. *
Session *
Name of Child *

First

Last
Date of Birth *
Gender *
Age of the student as on 31st March: *
Blood Group of the child
You belong to Gen / SC / ST / OBC / EWS / Disabled / S.G. Child? attach certificate. *

Gen. Cat. SC ST OBC EWS Disabled S.G. Child
Mother Detail

Details of parents
Mother's Name *

First

Last
Nationality *
Occupation *
Anuual Income (Lacs) *
Permanent Address *
Full Residential Address with tel. no *
Name of office & full address with Telephone No
Father Detail

Details of parents
Father Name *

First

Last
Nationality *
Occupation *
Annual Income (Lacs) *
Permanent Address *
Full residential address with tel. no
Name of office & full address with Telephone No
Name and Address of local guardian (if any)
Previous School Info
Name and Address of School last attended with Class *
Whether last school was CBSE affiliated: *

Yes No
If the last school was not affiliated with CBSE, specify name of the board
Result of last examination *
Percentage *
Subjects Proposed to offer:
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Whether the transfer certificate is attached

Yes No
Date of T.C
Mother tongue *
Home town *
I hereby declare that the above information furnished by me is correct to the best of my knowledge and belief. *

Yes
Passport size Photograph of the Student *

Select Image
Upload TC

Select Image
if you belong to Gen / SC / ST / OBC / EWS / Disabled / S.G. Child? attach certificate. *

Select Image

Mother Detail