Fields Mark with * are compulsory.

 Application Form for Class * :
 Applicant's Name (Full Name) * :    Date of birth* :
 Applicant's Aadhar No. (if available) :    Gender :
 Blood Group of Child :    Category
(Please attach proof if SC/ST/OBC)		 :
 Mother Tongue :    Minorities
(Please attach proof)		 :
 Nationality :    Tansport Required :
 Detials of the School Last Attended
 School's Name with address (Town/City/State)* :  Class* :
 Recognised by * :  Recognition No. :
 Affiliated to (CBSE/ICSE/Others) :  Affiliation No. :
  Medium of Instruction * :
Proficiency in Sports / Music / Arts (if any)
 Particulars of Parents
 Father's Name (Full Name)* :  Mother's Name (Full Name)* :
 Occupation/Designation * :  Occupation/Designation * :
 Office Address :  Office Address :
 Telephone No. :  Telephone No. :
 E-mail :  E-mail :
 
Guardian Details (if any)
 Name (Full Name) :  Occupation/Designation :
 Contact No. :  E-mail :
 Address :
 
 Residential Address* :
 Father's Mobile No.* :  Mother's Mobile No. :  Mob./Tel. No. (Res)* :
 Permanent Address* :
 State the distance from your residence to the school (Km)* : -
 Sibling in Laxman Public School, if any(brother / sister only)
Name Class & Section Admission No.
School Alumni only Class XII Pass from Laxman Public School) : -
Parents Alumni Status(Yes / No) Year of Passing Class XII
Father
Mother
Medical information : Does the child have any special medical need ?
if yes, give details : -
General Information
I) What type of education do you think is relevant and meaningful for your child's holistic growth ?
II) What made you opt for Laxman Public School as one of your preferences for your child's schooling ?
Documents enclosed herewith: -
S.No. Name of Document(s)
1.
2.
Proof of Residence :
3.
4.
5.
6.