Public School Kharod

Online Admission Form (CBSE) : 2021-22

Name of Student*:

Father's Name*:

Mother's Name*:

Date of Birth*:

Place of Birth*:

Nationality*:

Mother Tongue*:

Seeking Admission in class*:

Whether belongs to Schedule Caste / Schedule Tribe / Other Backward Class PI. mention if any (Attach Certificate)

Residential Address*:

Contact No*:

Mobile No*:

Educational Back Ground: Name of Previous School:

Board:

Reason for leaving:

Aadhar Card No with Name:*

Student

Mother

Father

Aadhar No

Name

UID No (Class II and above):

Occupation of Father/Mother*:

No of Brother & Sister*:

Office Address

Contact No

Whether Transport Facility of School avail off ?

Signature of parent*:

Student's Image

Father's Image with signature

Mother's Image with signature

Image of Last Result/Marksheet

HELPLINE NUMBERS

S.Y. Mehta: 8866651599

M.B.Saiyed: 7990987456

Admin Office: 02646276500

Address:

Public School Kharod National Highway No. 48, Kharod Opp. Kharod Village P.O.KHAROD-394115 Ta: Ankleshwar, Dist: Bharuch, Guj.
Phone:

+91 8866651599
Email:

publicschoolkharod@gmail.com

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