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SAMRAT PUBLIC SENIOR SECONDARY SCHOOL AJMER
(A UNIT OF SAMRAT PUBLIC SHIKSHAN )
AFFILIATED TO CBSE, NEW DELHI ( AFF. NO. 1730278)
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REGISTRATION /ADMISSION FORM
Class Appiled For:-
---select your class--
Nursery
LKG
HKG
1
2
3
4
5
6
7
8
9
10
11
12
Name of the Student(in block Letters):-
Date Of Birth:-
Gender:-
Male  
Female
Category:-
---select your category
General
SC
ST
OBC
MINORITY
OTHER
Caste(As per caste certificate):-
Religion:-
Contact No:-
Alternate No:-
Address:-
Mother Tongue:-
Nationality:-
Mother's Name(in block letters):-
Occupation:-
Qualification:-
Father's Name(in block letters):-
Designation:-
Father's Ocupation(if business please specify):-
Mobile No:-
Language Spoken at Home:-
FOR CLASS 11TH & 12TH USE ONLY
Stream:-
Subject Offered:-
1.
2.
3.
4.
5.
6.
ADDITIONAL PARTICULARS
(To Be Furnished By Parent/Guardian)
A.1.Particulars of any Brother/Sister studying in the School(SPS.Ajmer)
Name:-
1.
2.
3.
Class:-
4.
5.
6.