EXTRACT OF ADMISSION REGISTER SCHOOL:…………………………………………………………… 1.
Admission No
:
2.
Name
:
3.
Name of parent or guardian and the relationship of the pupil to the guardian
4. 5.
:
Occupation of parent of guardian and his residence
:
Schools previously attended and the period spent in each Std
:
6.
Date of Admission
:
7.
Date of Birth
:
8.
Religion
:
9.
Does the pupil belong to SC or ST or is he a convert from SC or ST
:
10. Standard on Admission
:
11. Standard on leaving
:
12. No. and date of TC produced on Admission
:
13. No and date of TC grants on leaving
:
14. No and date of TC grants on leaving
:
15. Reasons for leaving
:
16. Date of Vaccination
:
17. Remarks
:
18. Prepared by
: