A Camellia Public School - Nurturing Future Leaders

Application Form

Session: 2025 - 2026

(Note:- File size maximum 2MB, Image must be jpg, jpeg, png extension.)

Basic Information of Student

First Name *

Middle Name

Last Name *

Admission Sought in Class *

Date of Birth *

Age

Year- Month- Days-

Birth Certificate *

Candidate's Photo (3.5 cm * 4.5 cm) *

Blood Group *

Mother Tongue *

Nationality *

Religion *

Sex *
Male Female

Caste *
SC ST OBC General

Primary Contact Information for communication

Contact Person's Name *

Relationship with the student *

Address Permanent *

Address Present *

Pin *

Contact No. (No1, No2) *

Previous School Details

Name if the school

Address

Phone No. (with STD code)

Class attending / Last attended

Session

Board

Medium of Instruction

Second Language

Third Language

Last Progress Report

Father's Details

Name *

Qualification *

Phone *

Nationality *

Religion *

Mother Tongue *

Residential Address *

Fathers's Photo (3.5 cm * 4.5 cm) *

WorK Details

Occupation type *
Service Govt. Business Professional Pvt. Others

Organisation Name

Designation

Annual Income

Office Contact Number

Address

Mother's Details

Name *

Qualification *

Phone *

Nationality *

Religion *

Mother Tongue *

Residential Address *

Mothers's Photo (3.5 cm * 4.5 cm) *

Word Details

Occupation type *
Service Govt. Business Professional Pvt. Others

Organisation Name

Designation

Annual Income

Office Contact Number

Address

Details of Sibling studying in CPS

SL. NO.	Name	Class	Regn. No.
1
2
3

Guardian Signature

I / We

Parent / Parents of

have read the School's rules and regulations and hereby agree to abide by the same. All the above mentioned details provided by me / us are true in all respect. In case of discrepancy with the facts, the school authority reserves the right to cancel the registration form as well as the admission of the child. I/we also hereby agree to abide by the school rules and the school reserves the right to issue compulsory Transfer Certificate to my/our child for any act of inscipline. I/we have read and fully understood these conditions.