Name of Pupil (Initials to be given at the end)
Name of Parent and his relation to the pupil
Occupation and address of parent with phone number
Name, Address and occupation of local guardian (in case the pupil does not live with his/her Parents)
Schools previously attended with name
Name of School/Board
Date of Admission
Date of Leaving
a) Date of Birth (in figures and words) b) whether birth certificate produced (vide Rule VI-(1)
Age on date of application in words (number of years and months completed should be given)
Community and religion
Nationality and state to which the pupils belongs
Does the candidate belong to the Scheduled Castes or Scheduled Tribes or orther Backward Communities or is he/she, a convert from Scheduled Castes or Scheduled Tribes?
Standard to which admission is sought(in words)
Mother tongue of the pupil
No. and date of Transfer Certificate produced on admission.
Date of Last Vaccination
Identification marks
I have read the rules of discipline of this school and I undertake that my ward will abide by them. I solemnly declare that the above particulars about are true & correct .
Station
Date
Teachers Required – Experienced and Qualified Physics Teachers Send Bio-data to lfvn2008@gmail.com Ph-0481-2495801, 9497707059 Can apply online also