MAHARASHTRA ACADEMY OF ENGINEERING

AND EDUCATIONAL RESEARCH, PUNE

M. I. T. PRE-PRIMARY ENGLISH MEDIUM SCHOOL
Passport
ADMISSION FORM Size
Photograph

(Academic Year : 20 ______ - 20 _________)

(A) PUPIL’S INFORMATION :
Full Name

(Surname) (First Name) (Middle Name)

Residential Address & :

(Phone)

Date of Birth : / / (In word)

Place of Birth : Std. : Mini K.G. / Junior K.G. / Senior K.G.

Religion : Caste : Category : Sex :

(B) INFORMATION ABOUT THE PARENTS :

Father's Full Name :
(Surname) (First Name) (Middle Name)
Occupation & Post : Educational Qualification :

Office Address & :

Annual Income : (Phone)

Mother's Full Name :

(Surname) (First Name) (Middle Name)
Profession : Educational Qualification :

Office Address & :

(If employed)
Annual Income : (Phone)

(C) INFORMATION ABOUT THE BROTHERS / SISTERS :

No. of Brothers : No. of Sisters :
Give details of real brother or sister only studying in M.I.T. Schools, Pune
Std. : Division : Medium :
Full Name

(Surname) (First Name) (Middle Name)

Date : Name & Signature of the parent

N.B. 1. Please fill the form in block letters & in the parent’s own handwriting.
2. Incomplete form will be rejected.
3. Please attach an attested Birth Certificate and Caste Certificate (if any) of your child while submitting this admission form.
4. After getting confirmation of admission original birth certificate should be deposited in school office.
5. Submit the admission form on the given dates & time only. Late submitted forms will not be considered for the admission.
6. No phone calls regarding admission should be made to the school office.

FOR OFFICE USE ONLY

Information verified & found correct Admission granted / not granted