Mahapragya Public School

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Admission Form

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    1

    Student

    Student & school

    2

    Family

    Parent details

    3

    Health

    Medical record

    4

    Documents

    Checklist

    Student Information
    To be filled in block letters as per Birth Certificate













    Previous School Details
    Fill if previously enrolled in another school





    Student

    Student & school

    2

    Family

    Parent details

    3

    Health

    Medical record

    4

    Documents

    Checklist

    Family Information
    Parent / guardian contact details

    Father's Information











    Mother's Information











    Brothers / Sisters in this School




    Student

    Student & school

    Family

    Parent details

    3

    Health

    Medical record

    4

    Documents

    Checklist

    Health Record of the Child
    Health Record of the Child


    Immunisation Record

    Select Yes/No, and if Yes, provide age at immunisation and number of times

    Vaccination

    Done?

    Age

    Times

    B.C.G.

    Tetanus Vaccination

    Oral Polio Re-vaccination

    Typhoid

    Whooping Cough

    Diphtheria

    Hepatitis A

    Hepatitis B

    Chicken Pox

    M.M.R / Measles

    Any Other

    Illness in Past

    Please answer Yes or No for each illness

    Measles

    Mumps

    Chicken Pox

    Malaria

    Diphtheria

    Dengue

    Typhoid

    Dysentery

    Tuberculosis

    Any Other (specify)

    Student

    Student & school

    Family

    Parent details

    Health

    Medical record

    4

    Documents

    Checklist

    Documents Required
    Please keep these ready for submission at the school office

    1Original Birth Certificate + one xerox copy

    2Passport-size photos — Child (1), Father (2), Mother (1)

    3Physical Fitness Certificate from a Doctor

    4Doctor's signature on Health Record page

    5Original Leaving Certificate (Std 1 onwards)

    6Caste Certificate — notarised (if applicable)

    7Xerox of last Report Card

    8PAN Card of both parents (xerox)

    9Aadhar Card of parents & child (xerox)

    10Address proof — Passport / Electric Bill / Ration Card

    Note: The UDISE number of the previous school (applicable from Std 1 onwards) must be written on the admission form. Admission form will not be accepted without all documents in place.

    Declaration by Parent / Guardian

    I, the Parent/Guardian, shall abide by the prescribed rules and regulations of Mahapragya Public School. I agree to pay promptly all prescribed fees, which may be revised from time to time. Fees once paid are non-refundable.

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