AGARAM PUBLIC SCHOOL

Golden city, Karur main road, Dharapuram
Email: agarampublicschool@gmail.com
Tel: +91-7373780666, +91-7708285666

Registration Form

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 

Student Details:

Student First Name*
Middle Name
 
Last Name*
Gender*
 
Date of Birth*
Ex: 20/05/2011
Category*
 
Student Type*
Class*
 
Mother Tongue
Email Id
 
Religion
Previous School (if any)
 
Mobile No.*
Telephone(Resi)
 
Nationality*
Student Photo
 

Permanent Address

Address*
 
City*
 
State*
Pin Code*

Communication Address
Check this box if Communication Address and Permanent Address are the same.

Address
 
Country
 
City
State
 
Pin Code
 

Father's Details

Name*
Mobile no.*
 
Qualification
 
Office Address
Email Id
 
Telephone(Office)
Occupation*
 

Mother's Details:

Name*
Mobile No.
 
Qualification
 
 
Office Address
Email Id
 
Telephone(Office)
Occupation
 

Sibling Details: Sibling (Real Brother/ Sister) only studying in AGARAM PUBLIC SCHOOL    

Sibling Name*
Sibling Gender*
 
Sibling Class*
Sibling Age
 
 
 
I Agree