87545 92477
E :
info@chennaipublicschool.com
Registration Form
Name of the Applicant
:
Class
:
X
th
Year of Study
:
School Studied
:
School Address
:
Date of Birth
:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2001
2002
2003
Gender
:
Male
Female
Residential Address
:
Parent Details
Father
Mother
Parent Names
:
Educational Qualification
:
Employed/Self Employed
:
Employer/Organisation Name
:
Designation
:
Work Address
:
Mobile Number
:
E-mail id
:
Academic Achievement
Class :
X
th
Board :
Select Board
CBSE
ICSE
IGCSE
MYP
State Board
Others
Subject
Grade
Percentage
ENGLISH
%
SCIENCE
%
MATH
%
Merits/Awards
LEVEL
QUALIFIED
NTSE
Select Level
I
II
Select
Yes
No
OLYMPIAD
Select Level
International
National
Select
Yes
No
CBSE-PSA
Select
8
9
10
<8
Others :
Sport/Game
Name of the Sport/Game
Level
Achievement
Select Level
International
National
Select Achievement
Gold
Silver
Bronze
Winner
Runner