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Childrens Education Society (Regd.

THE OXFORD SENIOR SECONDARY SCHOOL


I Phase, J.P.Nagar, Bangalore 560 078
Karnataka, India. Tel : 30410512
E-mail : oxfordcbse@gmail.com www.theoxford.edu

REGISTRATION FORM
Issue of registration form does not ensure Admission

Please affix passport


size colour
photograph of student

General Instructions
1. Use only blue ball pen to fill the form.
2. Fill the form in CAPITAL LETTERS only.
3. Do not enter Registration Number yourself.

For Office Use only


Application Received on

: _________________

Admission Date : _________________

Registration No

: _________________

Receipt No.

: _________________

Lyceum ID

: _________________

I.D No.

: _________________

Name of the Applicant __________________________________________________________

Gender : Male / Female

Date of Birth (dd/mm/yyyy) ____________________ In words _____________________________________________________


Class to which Admission is sought ______________________________
Nationality __________________________________________

Age as on 30th June 20_ _ ____________________

Mother Tongue _____________________________________

Religion (SC / ST / OBC / Others (Please Specify)) ________________________________ Blood group __________________
Second Language (for I - X) _____________________________ Third Language (for V - VIII) ____________________________
Whether School Conveyance required (Yes/ No) ________________
Residential Address _______________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Distance from School (in kms) _________ Preferred Phone Number for School SMS (only one) _______________________
Siblings (only of real brothers / sisters) presently studying in The Oxford Senior Secondary School [ Yes / No ] _______________
If yes,
Name ____________________________________
Class-Section _____________
Admission No. __________________

Details of Parents
School Alumni (The Oxford Senior Secondary School)

Yes / No

School Staff (The Oxford Senior Secondary School)

Yes / No

Mothers Name ________________________________

Fathers Name ________________________________

Name of the Organization ________________________

Name of the Organization ________________________

_____________________________________________

_____________________________________________

Designation ___________________________________

Designation ___________________________________

Annual Income ________________________________

Annual Income ________________________________

Tel No. Office _________________________________

Tel No. Office _________________________________

Mobile _______________________________________

Mobile _______________________________________

E-mail _______________________________________

E-mail _______________________________________

Educational Qualification (Please Specify) (Tick the highest qualification only)


Post Graduation

Sr. Secondary School

Secondary School

Examination OR

Examination OR

Equivalent

Equivalent

Graduation
OR Professional
OR Equivalent
Degree
Father
Mother
DECLARATION
I / We hereby certify that the above information provided by me/us is correct and I/we understand that if the information is to be
found to be incorrect or false, the ward shall be automatically debarred from selection/admission process without any
correspondence in this regard. I /We also understand that the application /registration/short listing does not guarantee admission to
my ward. I/we accept the process of admission undertaken by the School and I/we will abide by the decision taken by the School
authorities.

Date :

Name

Father

Signature

_________________________________________________________

Mother _________________________________________________________

Previous Schools information (not applicable for nursery) __________________________________________________________


Submitted Transfer certificate (Yes / No) _______________________
Submitted Birth Certificate (Yes / No) ___________________________

Admission in charge

Vice Principal

Principal

Note
The School provides transport facilities but offers no guarantee that a seat in the School bus will be available when the buses
are full to capacity / do not ply in the area of your residence. It will be the responsibility of the parents / guardians to drop /
collect the child from the specified bus stop.
The child should be 3+ years of age as on 30th June 20_ _ for Nursery.
The registration made herein does in no way entitle the candidate to be admitted to the School.
Incomplete / Invalid forms will be rejected.

Enclosures
Copy of the Corporation Birth Certificate
Supporting document if the candidate belongs to SC/ST/OBC
Proof of Transfer (from the company) / visiting card of the parent
Affix colour passport size photograph in the space allotted in the application.
Application form should be submitted along with 2 more passport size colour photographs between 3.00 pm to 4.30 pm
(Monday to Friday)

The Registration Fee of Rs. 500/- should be remitted to the fee counter on submission of the registration Form.

Please check Schools website for updates

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