Submission Date:		Registration No:

The Landmark School Under the aegis of The landmark Educational Society (Regd.) Adampur Road, Bhogpur, Jalandhar, Punjab Phone No. : 0181-2979356, 7087089356
REGISTRATION FORM

Student's Detail
Name of the Student	First Name *	Middle Name	SurName

Seeking admission in class*
Date of Birth (In Figures) *	Date :	Month :	Year :
Date of Birth (In Words)
Blood Group
Mother Tongue		Language spoken at home
Nationality		Religion
Gender	Male Female
Category *
Single Parent	Yes No
Local Guardian (if single parent)	Father Mother
Would you need to avail the transport facility ?	Yes No
Distance of school from child's residence (in km)
Residential Address:
House/Flat No		Village
P.O		Distt:
City		State
Pincode		Phone

Local Guardian (If applicable)
Name
Qualification		Occupation
Designation		Contact
Work/Employer Details	Please specify: Govt. or Other
Guardian’s Annual Income		E-mail

Previous academic record of the student:
Subject	English	2nd language Punjabi/Hindi/others	Maths	Science	Social Science	Others
% of marks of grades

Particulars of sibling ( not cousin ) studing in The Landmark School, Bhogpur, If not applicable write N.A in the space provided.
Name	Class	Section

In case of staff child name of the parent working with The Landmark School
Information:
• Kindly note that the registration fee of Rs 1000/- will be charged before admission test . • The application made here does not, in any way ,entitle the candidate to be admitted to the school. • Entries filled in this admission form must match with the details of birth /transfer certificate. There after no changes shall be entertained.
Documents Required:
Two passport size photographs, an attested photocopy of Birth Certificate and previous school report card. Kindly pay the registration fee after click on submit button.

Filling up the entire form is mandatory. Incomplete form may not be considered. The following documents must be attached with this form.

Birth Certificate of the child
Proof of residence in the name of parents and child : Passport /Aadhar card
Proof of employment / office identity card of parents.
Three recent Passport size Photograph of the Student, one duly pasted in the application form and two to be provided with the Admission form.
Two recent Passport size Photograph of both Father and mother.
SC/ST/OBC/Other certificates(Attach Photocopy)
Photocopy of Mark Sheet of the Annual Examination attended in the previous school.
Transfer certificate of previous school.(TC)

The Landmark School