Chittaranjan Memorial Public school

Applicant Name*

Gender*

Date of Birth*

Place of Birth*

Nationality*

Aadhar Card

Apply to Join Class*

Mobile*

Mother Tongue*

Blood Group

Religion*

E-mail Id

Street Address*

Zip Code* Same As Above

Street Address*

Zip Code*

School Name

Class From/To

From Year

To Year

Father's Name*

Occupation

Mobile No.*

Qualification

Mother's Name

Occupation

Mobile No.*

Qualification

I certify that the particulars furnished are true and complete in all aspects and no information has been withheld. I understand that falsifying documents or information on this application may result in penalties up to and including immediate/permanent dismissal for the Academy. I understand that misrepresentation, falsification of documents and/or withholding of requested information in regard to this application are serious offences that may result in prosecution. I accept that no change will be entertained once the duly filled forms have been submitted and that should my application be submitted with incomplete forms it will be rejected.

I accept that no changes will be entertained once the duly filled forms have been submitted and that should my aplication be submitted with incomplete forms it will be rejected.

Online Admission