Shishu Niketan Model Sr. Sec.

School
Sector 22-D, Chandigarh

Registration No.

REGISTRATION FORM

Date.../..../..

Estd: 1953

To
The Principal
Shishu Niketan Model Sr. Sec. School
Sector 22-D, Chandigarh Ph: 2704966
Madam,
I am interested to get my son/daughter admitted to your school in class. please
register his/her name. The particulars regarding my son/daughter/ ward are as follows:
1. Students Name......
2. Fathers Name........
3. Fathers Educational Qualification....
4. Fathers Occupation.. Phone/Mobile No:...............
5. Mothers Name.......
6. Mothers Educational Qualification......
7. Mothers Occupation, if any..Phone/Mobile No:...............
8. Previous School attended.......
9. Previous class & Progress report....
10. Correspondence Address ...................
11. Brother/ Sister attending School/ College, Classwise...
1. . 2. ..
PREVIOUS SCHOOL PROGRESS REPORT (If any)
Name & address of school
last attended

Previous
Class

Examination
& Board

Group opted for XI

Med./N.Med/Comm.

Grades Obtained
Science Maths English

I am applying for the Registration of my son/daughter/ward and agree to abide by the rules and Regulations
of the School formulated from time to time. I am aware that the Registration does not ensure admission.
Signature
Father/Guardian)

FOR OFFICE USE ONLY

Received Registration form No:..

of for

admission to Class.

Signature