Online Registration Form

Online Admission Form

Exponential Sr. Sec. School
Rajeev Nagar - I, Bindukhatta, Lalkuan (Nainital)

Phone No: 9997988957

Technical Support No: +91-8630217581

Online Admission Form

INFORMATION OF THE CHILD

1- Class in which admission is sought Required

2- Name of Student (IN BLOCK LETTERS) Required

3- Date of Birth

4- Adhar Card No Required

a.) Height Required

b.) Weight Required

5- Category Required

6- Present Address Required

Same Parmanent Address Required

7- Telephone No. Office Required Required 10 digit Mobile No

8- Mobile No (Resi) Required Required 10 digit Mobile No

9- Session

10- Gender

Male Female

11- Nationality

12- Father / Mother Ocupation

13- Upload Photograph Only jpeg, .JPEG, .png, .PNG, .JPG, .jpg, are allowed.(Max 3 MB)

14- Last school attendant (with address) Required (if not available write None or 0)

a.) Class passed

b.) Year of passing Required (if not available write None or 0)

c.) Rank Required (if not available write None or 0)

MEDICAL CHALLENGES :

None	Tuberculosis	Allergy	Heart Disease
Child's Ability to Use Toilet	Bed Wetting

Mention if any other Required (if not available write None or 0)

Hobby of Student Required (if not available write None or 0)

TRANSPORT DETAILS:

a- Transport Required Required

b- Bus Pickup / Drop Point Required (if not available write None or 0)

PARENTS DETAILS

FATHER'S DETAILS

a.) Father's Name (IN CAPITAL LETTERS) Required

b.) Father OccupationRequired (if not available write None or 0)

c.) Father QualificationRequired (if not available write None or 0)

d.) Father Designation Required (if not available write None or 0)

e.) Father OrganizationRequired (if not available write None or 0)

f.) Father Contact NO.Required (if not available write None or 0)

g.) Father Whatsapp No.Required (if not available write None or 0)

MOTHER'S DETAILS

a.) MOTHER'S Name (IN CAPITAL LETTERS) Required

b.) Mother OccupationRequired (if not available write None or 0)

c.) Mother Qualification Required (if not available write None or 0)

d.) Mother Designation Required (if not available write None or 0)

e.) Mother Organization Required (if not available write None or 0)

f.) Mother Contact NO. Required (if not available write None or 0)

g.) Mother Whatsapp No. Required (if not available write None or 0)

BANK TRANSACTION DETAILS:

Transaction No. ( Optional)

DECLARATION

I hereby declare that all the information furnished in this form are true, complete & correct to the best of my knowledge and belief. I also promise to abide by the rules and regulations prescribed by the school. In case of any injury, accident or mishap on the part of my ward, the school will not be held responsible for it.

SUBMIT