Fields Mark with * are compulsory.

 Child's Name * :    Date of Birth * :
 Child's Aadhar Number :    Gender :
 Blood Group of the Child :    Social Category (Please attach proof if SC/ST/OBC) :
 Mother Tongue :    Minorities :
 Nationality :    Transport Required :
 Details of Parents
 Father's Name* :  Mother's Name* :
 Occupation :  Occupation :
 Designation :  Designation :
 Office Address :  Office Address :
 Telephone No. :  Telephone No. :
 
 Residential Address* :
 Father's Mobile No.* :  Mother's Mobile No. :
 Emergency Contact No.* :  Mobile No. for SMS Correspondence* :
 Mob./Tel. No. (Res)* :  E-mails Address :
 State the distance from your residence to the school (Km)* : -
 Sibling in Laxman Public School, if any( real 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 :
(I) Does the child have special medical needs ?
if yes, give the details (Max. upto 200 Characters) : -
(II) Is the child is allergic to any substance or medicine ?
if yes, give the details (Max. upto 200 Characters) : -
General Information
I) What type of education do you think is relevant and meaningful to your child in today's scenario ? (Max. upto 200 Characters)
II) Why have you opted for Laxman Public School as one of your preferences for your child's schooling ?(Max. upto 200 Characters)
Documents enclosed herewith: -
S.No. Name of Document Document Number
1.
2.
Proof of Residence :
3.
4.
5.
6.