Application Form
Application / Registration Form
( * ) Fields are Mandatory
*
Title
Mr.
Mrs.
Ms.
*
First Name
*
Middle Name
*
Last Name
*
Gender
Male
Female
Date of birth
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
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9
10
11
12
Year
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Citizenship
*
Nationality and Religion
Country of citizenship
Permanent Resident:
If sponsored, name agency
*
Languages Known
English
French
Hindi
Other
*
Permanent Address
*
Telephone no (include country code & area code)
*
Business or cell telephone number
*
E-mail
Academic Information
Are you or will you be a secondary school graduate by the first day of college?
Yes
No
Highschool transcript
Yes
No
College/Vocational transcript
Yes
No
University transcript
Yes
No
Specify the name of the program you are registering for
Program Name
Program Code
Semster / Year
Program Level
Section
Contact Details
*
Name of the Person
*
Email
*
Phone / Mobile
Declaration
:
I declare that all the particulars given in this application are true, correct and complete. I confirm that I have read the prospectus, understood the contents and agree to abide by the rules and regulations of the School. I declare that the school will not be liable for any damages or charges on account of injuries which may be caused or sustained by the ward during his / her in school while taking part in sports or other extra curricular activities of the school. I will not claim for any concession or exemption from any programme of the institution.
Are you agree to the above Declaration :
Yes I Agree
Security code
*
Type security code...
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