Ethos Public School

THE SCHOOL OF SCIENCE & TECHNOLOGY

Sitapur Road, Lucknow, Uttar Pradesh Mob.: +91-63930-63920

Application form Admission (Session 20 ____)

Affix Most Recent Passport Size Photograph of Student Here

Sr. No. Admission No.:

Particulars of student (IN BLOCK LETTERS)

Class in which admission sought:

Name:

Sex: (M) (F)

Date of Birth (DD / MM / YYYY)

(IN WORDS):

Student’s Aadhaar No.

Father’s Name:

Qualification:

Occupation:

Mother’s Name:

Qualification:

Occupation:

Mobile No.

+91 -

10.

Name and address of local Guardian:

PIN Code:

11.

Complete Permanent Address:

PIN Code:

12.

Physical Problems / Disability (if any):

13.

Nationality:

Religion:

14.

Caste:

Category:

15.

Name of the school last attended:

16.

Admitted to class:

17.

Transport: YES NO

(If yes) Route / Stop:

18.

Transfer Certificate no.:

Principal : ____________________________

Run Database upgrade once so extended fields save cleanly.