Step 1 of 8 Scholar Details

Step 1: Scholar Details

1:- Name of Scholar *

Date of Birth *

Format: mm/dd/yyyy

Gender *

Class to which admission is sought *

Student Photo Preview

No photo selected

Max size: 500KB. Formats: JPG, PNG, JPEG only.

Step 2: Parents Details

Father's Information

Father's Name *

Occupation *

Note: Fill Company and Post only if Father is a Police Employee.

Company

Post

Mobile No. *

Email ID

Mother's Information

Mother's Name *

Mother's Occupation

Step 3: Address Details

Permanent Address *

Postal Address

Step 4: Local Guardian

Guardian Name

Guardian Address

Relationship with Scholar

Step 5: Educational & Personal Details

Last Institution Attended

Mother Tongue

Religion & Caste

Duration of stay in U.P.

Step 6: Required Documents

Please upload all required documents in image format (JPEG, PNG) only. Maximum file size: 1MB per document.

Birth Certificate *

Aadhar Card

Caste Certificate

Domicile Certificate

Uploaded Documents

No documents uploaded yet

Step 7: Declaration

I hereby certify that the scholar has not previously attended any recognized school or institution. *

I hereby certify that the date of birth of the scholar is correct and I agree to abide by the rules of the Police Modern School. *

POLICE MODERN SCHOOL 25^TH BN PAC RAEBARELI

(Registration No.-568-71/2007-08)

APPLICATION FOR ADMISSION

(To be filled by parents or guardian of the student to be admitted police Modern school)

PASTE PHOTOGRAPH HERE

Name of Scholar

Date of birth

Class to which admission is sought

Father's name

Father's Occupation

(a). company Post Mobile No.

(b). Mother's name and occupation

Father's address:-

(a). Permanent

(b). Postal address

Local guardian:-

(a). Name

(b). Address

(c). Relationship

Last Institution Attended

Mother Tongue

Religion & caste

Duration of stay of the scholar in U.P.

If entry 7 is blank the following certificates must be signed:-

I hereby certify that has not previously attended any recognized school of institution.

...................................................

Signature of Parents/Guardian

I hereby certify that the date of the birth of scholar is correct and I agree to abide by the rules of the Police Modern School.

Enclosure (if any):- ...................................