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Modern Children Higher Secondary School GUNA(M.P.)

(English Medium)

Sony Colony, Guna - 473001 (M.P.), Ph:07542-224202, 226614 Mob: 09425132152

Email: mchss.guna@gmail.com

Website: www.modernschoolguna.com

Application for Registration/Admission

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I/We seek admission of my/our ward in Modern Children Higher Secondary School, Requisite perticulars are furnished below:-

1. Student

1.1 Name of the ward (M/F) - select - Male Female

1.2 Date of Birth age

1.3 Religion - select - African Traditional & Diasporic Agnostic Atheist Baha'i Buddhism Cao Dai Chinese traditional religion Christianity Hinduism Islam Jainism Juche Judaism Neo-Paganism Nonreligious Rastafarianism Secular Shinto Sikhism Spiritism Tenrikyo Unitarian-Universalism Zoroastrianism primal-indigenous Other Nationality - select - Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Guyana Heard Island And Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People'S Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People'S Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre And Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia And Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syrian Arab Taiwan, Province Of China Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe Mother Tongue - select - Assamese Bengali English Gujarati Hindi Kannada Konkani Malayalam Marathi Marwari Oriya Punjabi Sindhi Tamil Telugu Urdu Aka Arabic Arunachali Awadhi Baluchi Bhojpuri Bhutia Brahui Brij Burmese Chattisgarhi Chinese Coorgi Dogri French Garhwali Garo Haryanavi Himachali/Pahari Hindko Kakbarak Kanauji Kashmiri Khandesi Khasi Koshali Kumaoni Kutchi Ladakhi Lepcha Magahi Maithili Malay Manipuri Miji Mizo Monpa Nepali Pashto Persian Rajasthani Russian Sanskrit Santhali Seraiki Sinhala Sourashtra Spanish Swedish Tagalog Tulu Other

1.4 Do you belong to SC/ST/OBC? - select - GENERAL OBC ST SC (Attach Certificate) - select - Yes No

1.5 Class in which admission is sought - select - Nursery L.K.G. U.K.G. I II III IV V VI VII VIII IX X XI XII

1.6 Particulars of last school attended

1.7 Last school affiliated to which Board - select - BOARD OF INTERMEDIATE EDU, ANDHRA PRADESH BOARD OF SECONDARY EDU, ANDHRA PRADESH ASSAM HIGHER SECONDARY EDU COUNCIL BOARD OF SECONDARY EDU ASSAM BIHAR INTERMEDIATE EDU COUNCIL BIHAR SCHOOL EXAMINATION BOARD CENTRAL BOARD OF SECONDARY EDU COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAM. GOA BOARD OF SEC. AND HIGH. SECONDARY EDU. GUJRAT SEC. AND HIGH. SEC. EDU. BOARD HARYANA BOARD OF SCHOOL EDU H.P. BOARD OF SCHOOL EDU J&K STATE BOARD OF SCHOOL EDU GOVT OF KARNATAKA DEPT. OF PRE-UNIVERSITY EDU. KARNATAKA SECONDARY EDU EXAMINATION BOARD KERALA BOARD OF PUBLIC EXAMINATION KERLA BOARD OF HIGHER SECONDARY EDU MAHARASTRA STATE BOARD OF SEC. AND HIGH. SEC EDU BOARD OF SECONDARY EDU, Madhya Pradesh M.P. STATE OPEN SCHOOL BOARD OF SEC EDU CAMPUS BOARD OF EDU, MANIPUR COUNCIL OF HIGHER SECONDARY EDU, MANIPUR MEGHALAYA BOARD OF SCHOOL EDU MIZORAM BOARD OF SCHOOL EDU NAGALAND BOARD OF SCHOOL EDU NATIONAL INSTITUTE OF OPEN SCHOOLING COUNCIL OF HIGHER SECONDARY EDU, ORISSA BOARD OF SECONDARY EDU, ORRISA PUNJAB SCHOOL EDU BOARD BOARD OF SECONDARY EDU, RAJASTHAN TAMILNADU STATE BOARD OF SCHOOL EXAMINATIONS TAMILNADU BOARD OF HIGHER SECONDARY EDU TRIPURRA BOARD OF SECONDARY EDU U.P. BOARD OF HIGH SCHOOL & INTERMEDIATE EDU WEST BENGAL BOARD OF SECONDARY EDU WEST BENGAL COUNCIL OF HIGHER SECONDARY EDU WEST BENGAL BOARD OF PRIMARY EDU WEST BENGAL BOARD OF MADRASAH EDU RAVINDRA MUKTA VIDYALAYA CHHATISGARH BOARD OF SECONDARY EDU UTTRANCHAL SHIKSHA EVM PARIKSHA PRISHAD JHARKAND ACADEMIC COUNCIL RANCHI

Affl. No

2. Parents:

Father Mother Name Education Occupation Annual Income Present Address (with Pin code) Telephone No/s. Mobile No. Office Address Pin Code Tele/Fax No. Email

3.Brother/Sister

Whether any Brother/Sister studying in this school, if yes, please furnish particulars.

4. Name Class - select - Nursery L.K.G. U.K.G. I II III IV V VI VII VIII IX X XI XII Section

Name Class - select - Nursery L.K.G. U.K.G. I II III IV V VI VII VIII IX X XI XII Section

for those seeking admission in class XI or XII only.

4.1 The faculty would you like to choose. a) Science b) Commerce (Please tick)

5. For confirmation of admission, please enclose following documents.(Tick the item enclosed)

5.1Original Birth Certificate with one Xerox copy (for classes KG-I, KG-II & Class I)

5.2Transfer Certificate (for class II onwards) duly countersigned by competent authority (rank not lower then Dr. Director/District Education Office. Authorised CBSE Office.)

5.3Result Card with a Xerox copy of the last exam passed. (for class II onwards)

5.4In case seeking admission in class IX or above, proof of parents transfer or proof for transfer of establishment.

5.5Migration Certificate & Marksheet of Class X Board Exam, Particularly if coming from other Board School.

5.6Any other document/s if asked for in any case.

Terms and Conditions

1. Admission to the school is provisional in the first instance. If the student is unable to the adjust to the environment of the school, The school reserved the right to make him/her withdraw, School reserves the right to expel any candidate whose conduct is unsatisfactory at the discretion of the principal whose decision is final, No fees will be refunded in such cases.

2. DICIPLINE: Candidate is required to observer decorum while attending the school. All rules applicable to the school use of facilities, infrastructure and materials should be observed.

3. All information pertaining to admission will be put up on the Notice Board of the school only presents are adviced to see the Notice Board.

4. The students not Obeying the school Rules and Regulations will be terminated immediately without giving any notice.

5. The school can not hold itself responsible for the loss of any article arising through negligence on the part of the children.

6. 90% attendence is compulsory to appear in Annual Examination for all classes.

Declaration

I, declare that the Particulars given above are true to the best of knowledge. I have read and understand the Rules & Regulation of the school and promise to abide by all the terms and conditions specified herein and as amendend from time to time and my ward to will conform to the required standards of the school, I also understand that registration of my ward in the school does not guarantee admission/enrolment in the instituation.

Date Signature of Parents

QUALITY EDUCATION DOESN'T STOP HERE