PROVISIONAL APPLICATION FOR ADMISSION Affix here Latest photo Bhoganahalli, Bellandur Post, 560103, India. New Horizon College of Engineering, 124/2, Bangalore Behind PROVOIDING STRONG FOUNDATION SL.No.______ Class ………………………………. Year ……………………………… 1.Name of the pupil _____________________________________________________________________ (Full name in block leers) (FIRST NAME) (MIDDLE NAME) (LAST NAME) 2. Date of Birth /Age as on 1 st June 20__ __ Age____ Yrs_____Months 3.Naonality /Religion _____________________________/______________________________ 4. Category 5. Mother Tongue /Gender _________________________________________________ M F 6. a) Class last aended _______________________________________________________ b)Second Language Opng (Only for UKG) I Lang : English II Lang:Hindi Kannada 7. Language which the child can speak: 1. 2. 3. 8.Name of the Parent: ____________________________________________________________ 9. Residenal Address: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 10. Name and Std. of sisters & brothers Name :________________________________Std:_________ Sec:______ Studying in our school (not cousins): Name: _______________________________ Std:_________ Sec:_____ ___ 11. Are you a New Horizon Staff member? Yes/No Name: ________________________ Instute: ______________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Tear along doed line - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ACKNOWLEDGEMENT(To be retained by the parent) Received Registraon Form of Miss/Master _____________________________________________S/o / D/o ________________________________for admission in class ________________ Parents are requested to bring the child on _________________at _______________ for further discussion. Date: _______________________ PRO SC ST CAT 1 II A II B III A III B General Others Specify X X D D M M Y E A R
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PROVISIONAL APPLICATION FOR ADMISSION
Affix hereLatest photo
Bhoganahalli, Bellandur Post,
560103, India.New Horizon College of Engineering,124/2,
Bangalore
Behind
PROVOIDING STRONG FOUNDATION
SL.No.______ Class ………………………………. Year ……………………………… 1.Name of the pupil _____________________________________________________________________ (Full name in block letters) (FIRST NAME) (MIDDLE NAME) (LAST NAME) 2. Date of Birth /Age as on 1st June 20__ __ Age____ Yrs_____Months 3.Nationality /Religion _____________________________/______________________________ 4. Category
5. Mother Tongue /Gender _________________________________________________ M F 6. a) Class last attended _______________________________________________________ b)Second Language Opting (Only for UKG) I Lang : English II Lang:Hindi Kannada 7. Language which the child can speak: 1. 2. 3. 8.Name of the Parent: ____________________________________________________________
14. Annual Family Income: __________________________________________________________________ 15. In an effort to understand your child better, please mention (in detail) regarding
* Your child as a student: ____________________________________________________________
* Any learning disabilities: ____________________________________________________________
* Reasons for your interest to admit your child in our school ____________________________________________________________
16. Do you need Day Care facility for your child? Yes No 17. Do you need School Bus facility for your child? Yes No Note :
1. FEES ONCE PAID WILL NOT BE REFUNDED UNDER ANY CIRCUMSTANCES. 2. Registration DOES NOT ENSURE admission.
I declare that the above-mentioned details are correct and request that the applicant be admitted to class ____________ I agree to abide by the rules and regulations of the school. Date:_______________ Parent’s / Guardian’s Signature DOCUMENTS TO BE ENCLOSED WITH THE FORM 1. Passport size photograph 2. Copy of Birth certificate 3. Copy of Caste certificate if applicable 4. Copy of the child’s Aadhar. FOR OFFICE USE ONLY 1. Birth Certificate 2. Caste Certificate 3.Other relevant information