Ph.: 28013133
28011133
goodwillpublicschool@gmail.com

Goodwill Public Secondary School

(Recognised & Affiliated to C.B.S.E.)

Surakh Pur, Najafgarh, New Delhi - 110043

Admission Form

Admission No................................

Name of the pupil (in block letters) ................................................................................................................................

Mother's Name....................................................................................................................................................................

Father's Name(in full).....................................................................................................................................................................

Mother's Qualification ..................................................................Father's Qualification .................................................................

Permanent Residential Address.......................................................................................................................................

.....................................................................................................Phone No. (if any) ............................................................

Office Address & Phone No. ............................................................................................................................. ........................................................................................................................................................................................

Date of Birth (both in words & figures) ................................................................................................................

....................................................................................................................................................................................................

Class to be admitted ...............................................................................................................................................................

Last School attended .......................................................................................................................................................

Class reached in last School .....................................................................................................................................................

Medium of instruction ............................................................................Third Language .............................................

Religion ........................................................SC/ST ............................... Nationality ........................................

Father's Occupation ....................................................................Mother's Occupation .......................................................

Name of Brother or Sister studying in same school ..............................................................................................

Normal Health ....................................................................................................................................

Any Special Hobby ............................................................................................................................................

Date .............................................. Mother's/Father's Signature ...................................................

CERTIFICATE FROM PARENTS / GUARDIAN

I.......................................................................................................................................................hereby certify that date of birth of ..........................................................................................................................as entered by me in the admission form is correct to the best of my knowledge (if Transfer Certificate is produced, the entry in Admission form should be the same as given in Transfer Certificate). I declare that under any circumstances whatsoever, I will not any time apply for a change in the date of birth given now.

I certify that information given in this form are correct and true to the best of my knowledge and belief.

Date .............................................. Signature .....................................................

Address .....................................................

FOR OFFICE USE ONLY

Admit ..........................................................................................................D/S/o........................................................................

Class...................................................Section..................................

Admission No. ..................................................... Date ................................................

Office Clerk Principal