EXTRACT OF ADMISSION REGISTER

SCHOOL:……………………………………………………………

1. Admission No :

2. Name :

3. Name of parent or guardian and the relationship of the

pupil to the guardian :

4. Occupation of parent of guardian and his residence :

5. Schools previously attended and the period spent in each

Std :

6. Date of Admission :

7. Date of Birth :

8. Religion :

9. Does the pupil belong to SC or ST or is he a convert from

SC or ST :

10. Standard on Admission :

11. Standard on leaving :

12. No. and date of TC produced on Admission :

13. No and date of TC grants on leaving :

14. No and date of TC grants on leaving :

15. Reasons for leaving :

16. Date of Vaccination :

17. Remarks :

18. Prepared by :