Fatima Convent School
Welcome to
Fatima Convent School
Fatima Convent School
CLASS NURSERY REGISTRATION FORM 2021-22
(STUDENT DATA)
NOTE : Please do not leave any column blank. Use N.A. Where ever necessary *
STUDENT DETAIL
Name
*Date of Birth
(dd/mm/yyyy)
:
*Gender
Select
Female
Male
*Religion
Select
Budhist
Christian
Islam/Muslim
Hindu
Jain
Sikh
Aadhar No.
Mother Tongue
Select
Assamese
Bengali
Bhili/Bhilodi
Bodo
Dogri
Gondi
Gujarati
Hindi
Kannada
Kashmiri
Khandeshi
Khasi
Konkani
Kurukh
Maithili
Malayalam
Marathi
Meitei/Manipuri
Mundari
Nepali
Odia
Punjabi
Santali
Sindhi
Tamil
Telugu
Tulu
Urdu
Tibatin
*Category
Select
General
SC
ST
OBC
Nationality
Indian
Home State
Uttarpradesh
New Delhi
Gujarat
Rajasthan
Kerala
Maharashtra
West Bengal
Orissa
Karnataka
Bihar
Jharkhand
Chattisgarh
Uttrakhand
Madhya Pradesh
Tamil Nadu
Andhra Pradesh
Assam
Nagaland
Manipur
Tripura
Goa
Meghalaya
Punjab
Jammu - Srinagar
Andamans
Mizoram
Haryana
Himachal Pradesh
Delhi
Nepal
Pondicherry
Sikkim
Telengana
RESIDENTIAL ADDRESS:
House No.
Area / locality
Post Office
District
State
Uttarpradesh
New Delhi
Gujarat
Rajasthan
Kerala
Maharashtra
West Bengal
Orissa
Karnataka
Bihar
Jharkhand
Chattisgarh
Uttrakhand
Madhya Pradesh
Tamil Nadu
Andhra Pradesh
Assam
Nagaland
Manipur
Tripura
Goa
Meghalaya
Punjab
Jammu - Srinagar
Andamans
Mizoram
Haryana
Himachal Pradesh
Delhi
Nepal
Pondicherry
Sikkim
Telengana
PERMANENT ADDRESS: copy from RESIDENTIAL ADDRESS
House No.
Area / locality
Post office
District
State
Uttarpradesh
New Delhi
Gujarat
Rajasthan
Kerala
Maharashtra
West Bengal
Orissa
Karnataka
Bihar
Jharkhand
Chattisgarh
Uttrakhand
Madhya Pradesh
Tamil Nadu
Andhra Pradesh
Assam
Nagaland
Manipur
Tripura
Goa
Meghalaya
Punjab
Jammu - Srinagar
Andamans
Mizoram
Haryana
Himachal Pradesh
Delhi
Nepal
Pondicherry
Sikkim
Telengana
MOBILE NO TO BE REGISTERED WITH SCHOOL FOR SMS FACILITY
SMS No.
DETAILS OF LAST SCHOOL ATTENDED
Name of the School
Name of the Location
PARENTS DETAIL
STATUS
FATHER
MOTHER
Name
Academic Qualification
Select
10th Pass
12th Pass
Graduation
Post Graduation
Phd
Diploma
Select
10th Pass
12th Pass
Graduation
Post Graduation
Phd
Diploma
Occupation
Select
Academician/Teacher/Lecturer
Accounts
Actor/Model
Human Resources
Advocate
Architect/engineer
Artist/Painter/Singer
Banker
Business
Chemist
Consultant
Dancer
Defence Force/Police/CRPF
Designer
DJ/VJ
Doctor/MBBS/BAMS/BHMS
Farmer
Service Govt.
Hairdesser
Hospitality
House Wife
Interior Designer
IT/Software related
Media/Journalist/Press
Model
Nurse
Paramedical staff
Pilot
Service Private Sector
Scientist
Service (MNC)
Select
Academician/Teacher/Lecturer
Accounts
Actor/Model
Human Resources
Advocate
Architect/engineer
Artist/Painter/Singer
Banker
Business
Chemist
Consultant
Dancer
Defence Force/Police/CRPF
Designer
DJ/VJ
Doctor/MBBS/BAMS/BHMS
Farmer
Service Govt.
Hairdesser
Hospitality
House Wife
Interior Designer
IT/Software related
Media/Journalist/Press
Model
Nurse
Paramedical staff
Pilot
Service Private Sector
Scientist
Service (MNC)
If Service , Designation
Office Address
Aadhar No.
Mobile NO.
Email ID
Total Annual income
ALUMNI
Father :
Mother :
SIBLING DETAILS (Of DETAIL FO REAL BROTHER/SISTER IN FATIMA CONVENT SR. SEC. SCHOOL)
S.no
Ad. No
NAME
CLASS/SEC
1
Select
0
01-A
01-Daisy
01-Jasmine
01-Lilly
01-Rose
01-Violet
02-Daisy
02-Jasmine
02-Lilly
02-Rose
02-Violet
03-Daisy
03-Jasmine
03-Lilly
03-Rose
03-Violet
04-Daisy
04-Jasmine
04-Lilly
04-Rose
04-Violet
05-Daisy
05-Jasmine
05-Lilly
05-Rose
05-Violet
06-Daisy
06-Jasmine
06-Lilly
06-Rose
07-Daisy
07-Jasmine
07-Lilly
07-Rose
08-Daisy
08-Jasmine
08-Lilly
08-Rose
09-Daisy
09-Jasmine
09-Lilly
09-Rose
10-Daisy
10-Jasmine
10-Lilly
11-A
11-Com
11-Scie
12-Com
12-Scie
LKG
LKG-Daisy
LKG-Jasmine
LKG-Lilly
LKG-Rose
LKG-Violet
NUR
NUR-Daisy
NUR-Jasmine
NUR-Lilly
NUR-Rose
NUR-Violet
UKG-A
UKG-Daisy
UKG-Jasmine
UKG-Lilly
UKG-Rose
UKG-Violet
2
Select
0
01-A
01-Daisy
01-Jasmine
01-Lilly
01-Rose
01-Violet
02-Daisy
02-Jasmine
02-Lilly
02-Rose
02-Violet
03-Daisy
03-Jasmine
03-Lilly
03-Rose
03-Violet
04-Daisy
04-Jasmine
04-Lilly
04-Rose
04-Violet
05-Daisy
05-Jasmine
05-Lilly
05-Rose
05-Violet
06-Daisy
06-Jasmine
06-Lilly
06-Rose
07-Daisy
07-Jasmine
07-Lilly
07-Rose
08-Daisy
08-Jasmine
08-Lilly
08-Rose
09-Daisy
09-Jasmine
09-Lilly
09-Rose
10-Daisy
10-Jasmine
10-Lilly
11-A
11-Com
11-Scie
12-Com
12-Scie
LKG
LKG-Daisy
LKG-Jasmine
LKG-Lilly
LKG-Rose
LKG-Violet
NUR
NUR-Daisy
NUR-Jasmine
NUR-Lilly
NUR-Rose
NUR-Violet
UKG-A
UKG-Daisy
UKG-Jasmine
UKG-Lilly
UKG-Rose
UKG-Violet
HEALTH DETAILS
Mention If the student has any physical defects Or serious illness: - Default N.A
Fully Immunized (Of Y/N)
Select
YES
NO
Bronchial asthma (Of Y/N)
Select
YES
NO
Blood Group
Select
A+
B+
AB+
AB-
O+
O-
A-
B-
TRANSPORTATION DETAIL
Transport Mode (Self, By walk, Rikshaw, With parents etc.)
Select
Auto
Bi-Cycle
Public Vehicle
Own Vehicle
Shared Private Vehicle
Walk
Picked Up