Mother Teresa Convent School
Village Garhi Gujran, Near Samora, Indri Road, Karnal
Admission Form
Class
*
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NUR
LKG
UKG
I
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PRE NUR
Class!
Session
*
2025-2026
Session!
Student's First Name
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Student's First Name!
Student's Last Name
Gender
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MALE
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Date of Birth
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Year
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Month
Date
year!
Month!
Date!
Age as on 31st March,
2025
Blood Group
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A+
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AB+
A-
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O+
O-
Student's Aadhaar No.
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Mother Tongue
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Hindi
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Religion
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Hindu
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Religion
Nationality
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Nationality
Social Category
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General
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Permanent Address
*
Address!
Present / Office Address
Same as Permanent Address
Previous School Attended
School Name
Class
Parent's Information
Father Information
Father’s / Guardian Name
Mobile Number
*
Please Enter Mobile No.!
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Email Address
*
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Email
Father's Aadhaar No.
Income (Annual)
Qualification
Profession
Mother Information
Mother’s Name
Mobile Number
Please Enter Ten Digit Mobile No only
Email Address
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Mother's Aadhaar No.
Income (Annual)
Qualification
Profession
Sibling Information (If any) other child studying in this school
Other Information Given by Parents
Disability / Health problem (if any)
Allergy / Chronic ailment (if any)
Whether belong to BPL
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YES
NO
Transport facility require
*
Select
YES
NO
Transport
Distance from school (KMS)
Has the child ever been expelled / rusticated / not promoted in next class. (If yes, give details)
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Consent by Parents
Being bonafide guardian of my child, I give my consent to the following.
Permission is hereby granted to school to seek any medical assistance, even hospitalization of my child in the event of emergency, when it is not possible to contact me. In such condition, I am fully responsible for all the expenses incurred by School.
Permission is also granted for my child to be included in any graphical material published by school to illustrate the activities of the school.
I am fully aware and accept the fee schedule of the school and the same may be revised as per the decision of the management.
I will not hold the school responsible in any circumstances for any injury to my child arising form an accident or any untoward incident beyond the control of the school.
I further understand that the fee will not be refundable in any circumstances. Admission will be granted as per school norms.
I will bear with the school authority in case transport bus get delayed because of unavoidable circumstances.
Transport facility will be provided subject to availability of seats. It will not be the right of student's parent. Parent will have to take permission from school administration toavail transport facility every year.
Having read carefully the rules, regulation and procedures laid down in the prospectus & admission form, I am desirous of having my child/ward educated in Mother Teresa Convent School.
I will abide by all the rules and regulations of the school.
I, declare that the above information of my child is true and correct to the best of my knowledge and belief and I provide the same to Mother Teresa Convent School for admission of my Child. I further declare that I am bonafide guardian of my child and date of birth, spelling of name of my child is correct as per record. I will abide by the rules and regulations of Mother Teresa Convent School for admission of my child. I hereby put my signature to confirm the above information and declaration.