HIGHFIELDS INTERNATIONAL SCHOOL (An Institution of Balaji Educational Society)

HIGHFIELDS INTERNATIONAL SCHOOL
(An Institution of Balaji Educational Society)
Purushothapuram, Visakhapatnam - 51
No:
REGISTRATION FORM
1. Name of the Child {in Capital Letters}
D
D
M
M
Y
Y
[in words]
2. Date of Birth[in figures]
3. Age as on 1st April of current Academic Year:
4. Sex [Please put a tick]
Male
Years
Female
Months
Days
5. Nationality of the child
Caste
6. Religion
7. Name of the previous School
Applying for Class
8. Studying in Class
9. Languages Known Tel
Parents’ details
10. Name
11. Date of Birth
12. Nationality
13. Academic Qualification
14. Occupation
15. Designation
16. Name of Organization
17. Office / Business Address
18. Residential Address
19. Phone No (s)
20. Mobile No (s)
21. E-mail address
Eng
Father
Hin
French
Mother
Sanskrit
Others
LOCAL GUARDIAN
22. The staff ’s child please mention the name of the staff member
23. Details of any brothers or Sisters [not cousin] studying in Balaji Institutions.
Name of the child
Name of the Branch
Class / Sec
24. Areas in which you can contribute towards the enrichment of the School
Cultural
Media
Medical
Academic
Sports
[please put a tick against your choice]
Any Other
Please elaborate your choices
25. If school transport is required
Yes
No
INFORMATION :
Kindly note that due to limited number of seats, it will not be possible to admit all applicants. The registration
made here does not in any way entitle the candidate to be admitted to the school.
Short listed candidates will be informed by e-mail / phone / post .
Limited transport facilities are available on specific routes. Admissions therfore, will not automically ensure
a seat in the school bus.
INSTRUCTIONS :
Please submit the following along with form
Passport size photograph of the child and the parents duly affixed.
A photocopy of the Birth Certificate issued by the Municipal Corporation / Civic Authorities.
A photocopy of the latest progress report card.
CERTIFICATE FROM PARENTS :
I hereby certify that to the best of my knowledge the information given above is correct, I clearly understand that
the school on accepting the registration form of ward is not in any way, obliged to grant admission. I also agree
that the decision of the Principal regarding admission will be final and binding on me.
Date
Signature of Mother
Signature of Father
Signature of the Principal