The Lucknow Public Collegiate- Best Day Boarding School in India

Name and Place of School's attended from Nursery onward

Medium of Instruction

Last Exam Passed

Aggregate % Marks

Optional Subjects

The First Day-Boarding School of Uttar Pradesh

Registration Form download Registration form and submit it manually

Branch:

Candidates Full Name:

Present Address:

Telephone (with code):

Permanent Address:

Telephone (with code):

Email Address:

Gender:

Class in which admission is sought:

Section:

Type of School:

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 :

Local Guardian Name:

Local Guardian Address:

Local Guardian Phone No.:

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:

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