R B International School

Dehli Bazar, Sultanpur

Application For Admission

Name of Student Class in Seeking Admission for Father's Name Father's Qualification and Occupation

Mother's Name

Mother's Qualification and Occupation

Permanent Address

Telephone No.(Residence)

Office

Date of Birth

Male

Female

Student Age at the time of admission

Religion

Caste

Nationality

Note

I confirm to submit the TC/BC (which ever applicable) and result of previous class with in a month of admission date.

Enclosure (Please Tick Mark)

1.Birth Certificate

2.Transfer Certificate

3.Photograph 3 No.

4.Result Card of Last Institution

Fee Received

Amount

Receipt No.

Admission Fees

Annual Fees

Examination Fees

Monthly Fees

Total