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PROGRESSIVE HEIGHTS
ICSE Affiliation NO.: MP-045
Apna Nagar Road, Biaora, Distt. Rajgarh(M.P.)
Admission Form
Registration No.
Form No.
I request that my son/daughter, whose particulars are as below, be registered for admission to Progressive Heights with affect from the term commencing for Class
I: Child's Information (part-1)
Name of the child
Gender:
Date of Birth
Nationality:
Category:
Birth Order:
Religion:
II: Child's Information (part-2)
Child Samagra ID:
Aadhar Card Number:
Child's Bank Details- IFSC Code:
A/c No.:
Details about parents
A) Name
B) Qualification
C) Occupation
D) Mobile No.
E) Annual Income
Total Family Annual Income
Residential Address
Father
Mother
Communication from school should be forwarded to :
Sms/ WhatsApp no. :-
E-mail :-
Details of sibling (Real brother and sister)
Name
Age
M/F
School
Class
Please note the following :-
1. This form must be accompanied by:
a) A photo copy of municipal birth certificate
b) Photo copy of Aadhar card, Samagra id and bank account passbook
c) Original school leaving certificate
d) Photo copy of previous school last report card.
2. Incomplete admission form or form without supportive documents will not be processed
UNDERTAKING BY PARENTS
I
s/o
and
I
d/o
Do hereby solemnly affirm and undertake that:
•
we/I have submitted this application form for our/my son/daughter/ward with full understanding for seeking admission in the Progressive Height school, Biaora(M.P.)
• I,
(relation)
of (child's name)
shall hold responsible for payment of all his/her fee and other charges during his/her stay in the school and pending dues, penalty, etc. Also, I shall myself be responsible for any sort of liability arising and any civil or criminal case lying against our/my son/daughter/ward during the course of study in the Progressive Heights, Madhya Pradesh.
•
In my (Name:
) absence (travel/medically indisposed/death, etc.), the above-said responsibilities
will be taken over by Name:
(relation)
of (child's name)
DECLARATION
•
We/l agree to comply with the regulations of the school including those relating to the charging of interest/ late fees on unpaid bills/, suspension/ withdrawal of student for reasons, including non-payment of fees as per schedule.
•
We/I understand and agree that under no circumstances the fees paid to the schol will be refunded if a student withdraws admission for any reason.
•
All the information provided concerning our/my child is true to the best of our/my knowledge
•
We/I understand that legal custody of the child will remain with both the biological parents who are alive/adoptive parent[s] or with Legal Guardian (in case of biological parents are not alive), unless ordered by the legal authorities, otherwise in writing
•
We do hereby indemnify the Progressive Heights and its management and staff against all rights and claims by myself, my dependents, next of kin or other legal representatives for compensation for damages or disability arising out of personal injury or death due to any reason during the course of his/her study in the The Progressive Heights including of industrial visits, training, tours, conduct of practical working in laboratory or workshops, travelling in the transport or otherwise, sickness, accident, death caused to our/my son/daughter/ward on account of any mis-happening that may be caused inadvertently to our/my son/daughter/ward
Signature
Full name
Relation with child
Date
Signature
Full name
Relation with child
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