Olive Public School

Section - 1 Child's Name / Address / etc

Name:
Surname:
Date of Birth
Full Address:
Gender: Male Female

Religion:
Community:
EMIS:
Aadhar No:
Caste: OC BC MBC

Class to which admission is sought for:

Academic year for which admission is sought for:

Group:

Section - 2 Adults the child lives with

Father’s Details:

Father’s name:
Mobile No:
Email ID
Educational qualification:

Designation:
Aadhar No:
Monthly Income:

Mother’s Details:

Mother’s name:
Mobile No:
Email ID
Educational qualification:

Designation:
Aadhar No:
Monthly Income:

Section - 3 Ethnic background, National identity and languages of child

State:

National Identity:

Mother Tongue:

Second Language:

Section - 4 Medical Information

Indicate any health problems:
'other' description and any additional medical data:

Doctor's Name:
Mobile No:

Section - 5 Legal Guardian ( Complete only if applicable)

Name:
Mobile No:
Relationship:

Qualification:
Address:
Aadhar No :

Section - 6 Siblings / Relatives

Was the applicant a student of OPS previously? Yes No

If any of the applicant’s relative is studying / has studied in OPS ? Yes No

Section - 7 Previous School Name of previous school:
Address of previous school:
Transfer Certificate Obtained: Yes No

Section - 8 Bank Transaction Details Bank Name:
Amount Transferred:
Transaction Number:
Date of Transaction:

BANK DETAILS

A/C Name: OLIVE PUBLIC SCHOOL NURSERY

A/C No: 59109884075698

IFSC Code: HDFC0000260

Bank Name: HDFC

Branch: CHITLAPAKKAM, TN

APPLICATION FORM AMOUNT: RS.750/-