APPLICATION FORM


Application for Admission to   Please note * marked fields are mandatory.

Photo Upload
Child Photo


Instructions for uploading photo
File Types: .jpg, .jpeg, .png
Height : 500 to 531 px   Width : 400 to 413 px
Resolution : 100 dpi (recommended :300 dpi)
Max File Size : 150 Kb



Father's/Guardian Photo


Mother's/Guardian Photo


Information
Note: Student name should be as per birth certificate
Student's Name*
  Name Father`s Name Surname
Father`s Name*
  Name Father`s Name Surname
Mother`s Name*
  Name Husband`s Name Surname
Date of Birth*  
  DD MM YYYY  
Place of Birth*
Gender
Nationality Please Specify 
Religion Caste* 
Caste under the Class
Aadhaar Card No.
Medical information:
Blood Group
Allergies
Doctor's Name Doctor's Contact No. 
Medical History: (Tick if applicable and specify the details.)
 
  Please Specify  
Other Challenges: (Tick if applicable)
 









Communication Address
Address Line* Area*
Landmark* City* Pincode*
State* Nation* Tel No. (Res.)*
Mobile No.* E-Mail Id* Emergency Contact No.*
**Emergency No. should not be same as other given contact numbers.
Transport Facility Required

Previous School / Nursery School / attended:
Name of School
Address of School

Details of: Siblings (Brother / Sister studying in VPMS)
Student`s Name: Class Div
  Name                              Father`s Name               Surname        
Student`s Name: Class Div
  Name                              Father`s Name               Surname        

Parent Information
PARENTS / GUARDIANS (Persons with whom the child normally resides)
(If the child does not normally reside with BOTH parents, please furnish details in a letter signed by legal guardian)
1. Father / Guardian`s Name*
Age* (Years) Relationship with Child
Educational Qualification*
Profession / Occupation*
Designation & Department*
Office Address*
Tel. No.* Mobile No.*
2. Mother / Guardian`s Name*
Age* (Years) Relationship with Child
Educational Qualification*
Profession / Occupation*
Designation & Department*
Office Address*
Tel. No.* Mobile No.*
Approximate annual income of family* Rs.

UNDERTAKING BY PARENTS
I understand that this is just a registration to the admission process and does not guarantee admission in the school.
(Please read and tick the undertaking before submit)