Registration Form

Registration No. :
Programme :
LearnerNurtureVisionTarget
Name of the child :
Date Of Birth :
Age as on 31 March of current Academic Year
Years
Months
Days
Aadhar Number of child :
Gender (Please put a tick) :
MaleFemale
Nationality of the child :
Religion :
HinduMuslimChristianSikh
Category :
GeneralOBCSC/ST
Name of previous school :
Studying in class :
Applying for class :
Percentage of Marks in Previous Class :
Medium of Instruction :
Mother Tongue :
Blood Group
Languages studying :
HindiEnglishFrenchSanskrit
Other Languages
PARENT'S DETAILS
FATHER/GUARDIAN
MOTHER/GUARDIAN
Name :
Date of Birth :
Nationality :
Qualification :
Occupation :
Designation :
Organisation :
Office Address
Residential/Correspondence Address :
Mobile No(s). :
E-mail :
If an ex-student of SHEMFORD, pls. mention the year :
If staff child, please mention the name of the staff member :

Details of any brother or sister (not cousins) studying in SHEMFORD Gorakhpur.

Name of the Child Name of Branch Group/Class
Areas in which you can contribute towards the enrichment of the school. (Please put a tick against your choice) \
SelectCulturalMedicalMediaAcademicSportsOther
If school transport is required :
Distance from School in km. :
Any medication taking for any medical condition :

INFORMATION

  • Kindly note that due to limited number of seats, it will not be possible to admit all applicants. The application made here does not, in any way, entitle the candidate to be admitted to the school.
  • Shortlisted candidates will be informed by phone/post/e-mail.
  • Limited transport facilities are available on specific routes. Admission therefore, will not automatically ensure a seat in the school bus.

List of Documents to be submitted along with the form

  • 2 passport size photographs of the child and one of each parent duly affixed.
  • A photocopy of the Birth Certificate issued by the Municipal Corporation / Civic Authorities.
  • A photocopy of the latest Progress Report Card.
  • A photocopy of School Leaving Certificate (T.C.) [not required for Pre-primary Classes]
  • A photocopy of Residential Proof (Copy of Ration Card / Voter's ID/ Passport / Aadhar / Driving Licence).
  • Medical Certificate / Fitness Certificate

CERTIFICATE FROM PARENTS

I hereby certify that to the best of my knowledge, the information given above is correct. I fully understand that the school, on accepting the registration form of my ward is not in any way, obliged to grant admission. I also agree that the decision of the School regarding admission will be final and binding on me.

Date:
Father's Signature
Mother's Signature

INSTRUCTIONS

  1. The School does not accept any responsibility, legal or otherwise for any accident in the school or any unforeseen happenings.
  2. In case of withdrawal of the child from the school, three months notice is to be given in advance. In such a case only the security deposited is refundable (if any).
Date:
Parent's / Guardian's Signature
Principal's Order:
Date