Fields Mark with * are compulsory.

 Application Form for Class * :
 Applicant's 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 :
 Nationality :    Tansport Required :
 Detials of the School Last Attended
 School's Name* :  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* :  Mother's Name* :
 Occupation :  Occupation :
 Office Address :  Office Address :
 Telephone No. :  Telephone No. :
 E-mail :  E-mail :
 
 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 special medical needs ?
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) Why did you make Laxman Public School one of your preferences for your child's schooling ?
Documents enclosed herewith: -
S.No. Name of Document Document Number
1.
2.
Proof of Residence :
3.
4.
5.
6.