Extract of Admission Register

EXTRACT OF ADMISSION REGISTER  SCHOOL:……………………………………………………………

1.

Admission No

:

2.

Name

:

3. Name of parent parent or or guardian guardian and the the relation relationship ship of the the pupil to the guardian 4.

:

Occupatio Occupation n of parent parent of guardian guardian and his residence residence

:

5. Schools Schools previo previously usly attend attended ed and the period period spent spent in in each Std

:

6.

Date of Admission

:

7.

Date of Birth

:

8.

Religion

:

9. Does the pupil pupil belon belong g to SC SC or ST or is he he a convert convert from SC or ST

:

10. Standard on Admission

:

11. Standard on leaving

:

12. No. and date of TC produced on Admission

:

13. N No o and date of TC grants on leaving

:

14. N No o and date of TC grants on leaving

:

15. Reasons for leaving

:

16. Date of Vaccination

:

17. Remarks

:

18. Prepared by

: