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Oriental Public School, Hills Park Ambikapur
Surguja, Chhattisgarh

Registration For Admission 2020-21
Admission Helpline No. 8815696592


Applying date
01. Name of the Candidate (in Block Letters)
02. Gender Male:      Female:   Upload your Photo(Dimension-W-150 Pixel & H-200 Pixel)
your image
03. Date of birth
  DOB(In Words)
04. Health Issue (if Any):
05. Name of the Previous School and Board:
  Result of Last Two YearsYear 2018-19 Class Percentage  
   Year 2019-20 Class Percentage  
06. Father's Name
  Father's Occupation(Please Specify) Education Annual Income Is Income Tax Payee: Yes   No
07. Mother's Name
  Mother's Occupation(Please Specify) Education Annual Income Is Income Tax Payee: Yes   No
08. Residential Address
09. Email Address Mobile No.1: Mobile No.2:
10. Religion Sub Caste Caste Group
11. Mother Tongue English: Hindi Other(Specify):
11. (a)Class(Applying to)
12 Siblings studying in this school (1) Name Class
    (2) Name Class
Declaration: I hereby declare that the contents of the admission form as filled in above by me are true to the best of my knowledge and belief. I also declare that I will abide by the rules & regulations of this school.
 
Note:A Separate Form Will Be Filled up After Admission is Confirmed.