Pacific World School

HS-02, Tech Zone-4,
Noida Extension,Greater Noida West

Web:www.pacificworldschool.com
Email: info@pacificworldschool.com | Tel: +91 8899117704

Registration Form

Note: All ‘*' marked fields are mandatory. Please mention 'NA’ if not applicable.
 

Student Details:

CLASS APPLIED FOR*
 
 
Student First Name*
Middle Name
 
Last Name*
Gender*
 
Date of Birth*
Place of Birth
 
Blood Group
Child's Nationality*
 
Only child of the Parent
Caste Category* (Submission of Certificate at the time of admission is a must)
 
Religion*
Minority*
 
Handicap*
Category *
 

Communication Details:

Email*
Mobile No. for SMS: *
 

Previous School Attended

Details:

Name of The School With City Name :
School Recognized By
 
Year of Passing Last Class
Medium of Instruction Till Now
 

Details of The Performace of The Child in 2016-2017 (Not Applicable For NUR & PREP)

S.No. Subject Marks Grade Grade Point Achievements in Previous School
1 ENGLISH
2 HINDI
3 MATHEMATICS
4 SCIENCE
5 SOCIAL SCIENCE

Parental Information

Father Details:

Name*
Pin Code
 
Academic Qualifications*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address*
 
E-mail*
Mobile no.*
 
Gross Annual Income*
City*
 

Mother Details:

Name*
Pin Code
 
Educational Qualification*
Occupation*
 
Designation
Organisation
 
Phone(Off.)
Phone(Resident)
 
Address(Off.)
Residential Address
 
E-mail
Mobile no.*
 
 
Annual Income
 

Guardian's Details:

In case the parents are not residing with the child*
 
I Agree