Student Registration Form

R.E.D. Sr. Sec. School

Chhuchhakwas,Chhuchhakwas
Phone No. : 9992114105,9992113930,9992334031

REGISTRATION FORM

Registration Form Information
Admission Type	General Admission Admission Cum Scholarship
Form No *	21
Registration No. *	21
Receipt No	(for office use only)
Admit Card No	(for office use only)
Class *
Student Name *
Date of Birth *
Gender *
Aadhaar Number *
Registration No. of Previous School
Admission as	Day Scholar Hostler
Nationality
Mother Tongue
Religion
Category
Blood Group
Home Town
Country *
State *
City *
Nearest Railway Station/Airport
Permanent Address
Permanent Phone No.
Residential Address
Present Phone No.
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Father's Details
Name *
Mobile No. *
Marital Status
Qualifications
Occupation
Designation
Name of the Organisation
Office Address
Office Phone No.
Residential Phone No.
Residential Address
Email ID
Select Father Image	Image Format (.jpg,.jpeg,.png,.gif) (Image Size upto 25Kb and less than 500kb)
Mother's Details
Name *
Mobile No. *
Marital Status
Qualifications
Occupation
Designation
Name of the Organisation
Office Address
Office Phone No.
Residential Phone No.
Residential Address
Email ID
Select Mother Image	Image Format (.jpg,.jpeg,.png,.gif) (Image Size upto 25Kb and less than 500kb)

Other Details

Last School Attended

Class in which she/he was studying in the previous school

Medium of instruction in the previous school

Hindi English

Year of Admission to the Last School

Reason for leaving the Last school

For Class III onwards – Details of Grades/Marks (%) obtained in the last Annual Exam.

Subject	Marks/Grade

Particular of Siblings studying in R.E.D. Schools

Class/Section	Student	Admission No.	School Branch

Outstanding achievements in other activities (if any)

Details of disability (if any)

Are you shifting your residence:
(In case of Admission to 10th and 12th)

No Yes

Why do you wish your ward to join R.E.D. School and the
expectation from R.E.D

CHECKLIST OF DOCUMENTS TO BE SUBMITTED AT THE TIME OF ADMISSION (PLEASE ✓ MARK)

Attested copy of Birth Certificate

Copy of Report Card of previous class

Attested copies of certificates of Outstanding Achievements, if any

Photographs –

Two photographs of passport size of the student.

One photograph each for parents.

I certify that I am in a position to pay the prescribed fee/funds
and will not ask for fee concession. *

I want my child to follow CBSE curriculum in English Medium in
this school. *

	R.E.D. Sr. Sec. School Chhuchhakwas,Chhuchhakwas Phone No. : 9992114105,9992113930,9992334031 E-mail : red124106@yahoo.co.in , Website : www.redschoolchk.in