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The First Day-Boarding School of Uttar Pradesh
  Registration Form                   download Registration form and submit it manually
Candidates Full Name:
Present Address:
Telephone (with code):
Permanent Address:
Telephone (with code):
Email Address:
Class in which admission is sought:
Type of School:
Date Of Birth:
Name of the real brothers/sisters studying at the Lucknow Public Collegiate:
Father's Name:
Father's Office Address:
Father's Phone No.:
Mother's Name:
Mother's Office Address:
Mother's Phone No.:
Family Details :
Relation Educational Qualification Occupation
Local Guardian Name:
Local Guardian Address:
Local Guardian Phone No.:
Name and Place of School's attended from Nursery onward From To Medium of Instruction Last Exam Passed Aggregate % Marks Optional Subjects
Position in class in last examination at previous school:
No of students in last examination at previous school:
Proficiency in games, hobbies and cultural activities (debates, dramatics, music etc.). Give specific details:
Medical: Any special instruction / information regarding medical metters:
Details of a person responsible for the payment of fees:
Name of responsible person:
Address of responsible person:
Phone No of responsible person:
Whether your ward:
(a) is an Anglo-Indian (b) mother tonguels Hindi
(c) is a foreigner (d) mother tongue is
(e) is Muslim (f) Belongs to other state (any other language)  Yes    No
(g) is a Christian (h) belongs to LUCKNOW (U.P.)  Yes    No
(i) is any other minority (j) Caste   
(k) belongs to SC/ST/OBC
(l) parent employed in All India Services (Central Government Employee)  Yes   No

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