The First Day-Boarding School of Uttar Pradesh Download Registration form and submit it manually * Required Information Branch : * Jopling road Sharda Nagar Candidates Full Name : * Present Address : Telephone (with code): Permanent Address: Telephone (with code): Email Address: Gender :* -Select Gender- Male Female Class in which admission is sought :* Section : Type of School: --Select Type-- Boarder Day Boarder Day Scholar Date Of Birth :* Name of the real brothers/sisters studying at the Lucknow Public Collegiate: Father's Name :* Father's Office Address: Father's Phone No. :* Mother's Name :* Mother's Office Address: Mother's Phone No.: Family Details : Relation Educational Qualification Occupation Father Select Sr. Secondary Graduate Post Graduate M.Phil Doctorate(Ph.D) Mother Select Sr. Secondary Graduate Post Graduate M.Phil Doctorate(Ph.D) Brother Select Sr. Secondary Graduate Post Graduate M.Phil Doctorate(Ph.D) Sister Select Sr. Secondary Graduate Post Graduate M.Phil Doctorate(Ph.D) Local Guardian Name: Local Guardian Address: Local Guardian Phone No.: Name and Place of School's attended from Nursery onward From To Medium of Instruction Last Exam Passed Aggregate % Marks Optional Subjects Position in class in last examination at previous school :* No of students in last examination at previous school: Proficiency in games, hobbies and cultural activities (debates, dramatics, music etc.). Give specific details: Medical: Any special instruction / information regarding medical metters: Details of a person responsible for the payment of fees: Name of responsible person :* Address of responsible person: Phone No of responsible person: Enclosure: --Select-- Original B.C. Original T.C. Original Studying Certificate Whether your ward: (a) is an Anglo-Indian (b) mother tonguels Hindi (c) is a foreigner (d) mother tongue is (e) is Muslim (f) Belongs to other state (any other language) Yes No (g) is a Christian (h) belongs to LUCKNOW (U.P.) Yes No (i) is any other minority (j) Caste (k) belongs to SC/ST/OBC (l) parent employed in All India Services (Central Government Employee) Yes No
