Meerut Public School

Admission No. _______________ Roll No. ________________________
Name (in full) ________________________________________________
Class _______________ Sec. ________________ Year ______________
Admission No._______________ Roll No. _________________________
Religion ________________________Date of Birth ________________
Previous School Attended_______________________________________

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Percentage Obtained in the Previous Class ______________________________________
Father's Name __________________________________________________________________
Occupation/Designation _________________________________________________________
Mother's Name __________________________________________________________________
Occupation _____________________________________________________________________
Name of Guardian _______________________________________________________________
His/Her Occupation/Designation _________________________________________________
Residential Address ____________________________________________________________
Office Address _________________________________________________________________
Telephone No. (Off.) _______________(Res.)________________(Mob.)________________
Details of Real Bother/Sister; studying in this school or in any other branch of MPS.
1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________
4. _____________________________________________________________________________
Bus Route No. __________________________________________________________________
Medical Problem (if any) _______________________________________________________
Prescribed Medication __________________________________________________________
Physician's Tel No. _______________________________________________________________

Father's Signature Mother's Signature Guardian'Signature