Registration Form No: ………..

/ 2018-2019

NATIONAL HILL VIEW PUBLIC SCHOOL - UNIT II

NICE LINK ROAD JUNCTION, BANASHANKARI 3RD STAGE, BANGALORE - 560 085. Recent
(Affiliated to Central Board of Secondary Education, New Delhi) photograph
Tel : 080-65703991/ 65703992 Email : nhvpsbsk@gmail.comWebsite : www.nhvpsbsk.com with name
printed
APPLICATION FOR REGISTRATION ONLY
2018-2019

Name of the Pupil (in Block Letters ) Class:……………

Date of In figures:..…… /.……. / …… Age as on 01 June 2018: Years months days
Birth
In words : ……………………………………………….. Blood Group Identification mark:…….... ………………….
Place of Birth Nationality Mother Tongue Religion
…………………….. ……………………… ……………………. …………………………………..

Single Girl Child : Yes / No Male / Female SC ST OBC GEN Others

Sibling: Name :………...………...……...……….…………...…School :…...……….…...………....…………… Class …………..

Mode of travel :School Bus Own Transport
Any Allergies : Yes / No Any prolonged treatment : Yes / No
Any physical disability: Yes / No Any evidence of learning disability: Yes / No
Details of Parents ( in Block letters)
Father Mother
Name: Name
Educational Qualification: Educational Qualification
Occupation /Profession: Occupation /Profession:
Designation : Designation
Organisation / Company Organisation / Company
Office Address: Office Address:

Residential Address: Residential Address

Contact Number : Contact Number :

E- mail: E- mail:
Annual Income : Annual Income :

Details of previous schooling of the Pupil :

School Last Attended: Class:
Highest Examination Passed :
Medium of Instruction:…………………………………. Second language :……………………………………
Marks / Grades in the Year- End Examination
Year School Class Second Social Sports &
English Language Maths Science Science Games Art & Craft

…………………………………………………………………………………………………………………………………………….PTO
FOR OFFICE USE ONLY
Receipt No : ………………dt ………………….
Remarks …………...…………………………………………………... Class………………………….
Bangalore ……………………..
Date: PRINCIPAL
* PLEASE AFFIX A RECENT PHOTOGRAPH OF CANDIDATE WITH NAME PRINTED.
* PLEASE ATTACH COPIES OF MARKS CARDS / PROGRESS REPORT CARDS OF THE LAST 3 YEARS AND BIRTH CERTIFICATE WITH
CANDIDATE'S NAME .
* INCOMPLETE FORMS WILL BE REJECTED.
PLEASE USE BLUE INK ONLY
 DECLARATION

I hereby certify that information furnished by me is correct to the best of my knowledge and belief.
Further, I fully understand that the registration made herein does not confirm admission to my ward and
that the school on accepting this registration form is not bound to grant admission to him/her. I also
agree that admission will be granted on merit, subject to his/her performance in an aptitude test and
only against vacancies and that the decision of the school regarding grant of admission will be
according to geographical proximity and will be final and binding on me. Admission fee once paid will
not be refunded. Fee structure is subject to revision, annually, with a minimum 10 to 15 percent
increase, to offset escalation of costs by way of salaries, maintenance, material expenditure, etc., as
NATIONAL HILL VIEW PUBLIC SCHOOL is a self-financing institution.

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Signature of Mother / date Signature of Father / date