E-Admission Form E-APPLICATION FOR ADMISSION (PRE-PRIMARY, PRIMARY, SECONDARY 2020-21) Phone no.: 020 26823629 Mobile no.: +91 7350011749 / +91 9011034834 Email: firstname.lastname@example.org To be filled in CAPITAL LETTERS by Parents. All items marked by * are mandatory Name of the Student : - First Name* - Middle Name - Last Name* Date of Birth of Child* Gender* MaleFemale Enrolment in (for 2020-21)* Pre-PrimaryPrimarySecondary Aadhar number of Child* Preferred Aadhar number to be of the Child. Give that of Father or Mother if not available.* ChildFatherMother Father's Name : - First Name* - Middle Name - Last Name* Mother's Name : - First Name* - Middle Name - Last Name* Mother Tongue* Religion* SC/ST/OBC/GEN. GENSCSTOBC Qualification of Parents : - Father* - Mother* Occupation of Parents : - Father* - Mother* Gross Annual Family Income* : Language(s) Commonly spoken at Home : - 1.* - 2. - 3. Parents Information : Present Address* Permanent Address* Mobile no.* Email ID* Emergency no.* Guardian Information : Present Address* Permanent Address* Mobile no.* Email ID* Emergency no.* Name and details of Siblings - Name - Std. - Div. Transport Facility Required* YESNO Previous School attended (if any) - Name - Std. (Please attached copy of School Leaving Certificate, below) Medical Background: Whether Vaccinated for all ailments or no* YESNO - Blood Group* - Allergies (if any)* - Ailments (if any)* Details of Family Doctor : - Name - Phone Details of Any medications taken Any Surgeries conducted* YESNO If Yes - give details Any other health details you may want to share: Give Identification marks of the Child - 1.* - 2. Any other details you may want to share: Attachments: Please upload the following attachments. In case of if an attachment is not uploaded, it will need to be submitted or the school reserves the right to reject the admission. Photographs: Photos to be in jpg, jpeg, png format - 350x450 px - 96 DPI 100kb each maximum size allowed Student*: Father*: Mother*: Guardian: Other documents: To be uploaded as PDFs only - file limit mentioned below. Date of Birth Certificate* (500kb max): School Leaving Certificate (500kb max): Medical documents* (5mb max): Please include one PDF for vaccination details, blood group, and all other options as added by you above "I confirm, to the best of my knowledge and belief that, the information I have provided in this form is correct. I have fully read the terms and conditions as specified on this page - Admission form Terms and Conditions I hereby authorize Universal Public School and it's affiliates to use this information, call and / or send text message through the Short Messaging Service (SMS) or Whatsapp, and / or email us for admission and other information purpose."