Colonel's Central Academy (CCA School)
Sector 4, Urban Esate, Gurgaon, Haryana 122001
Affix Passport Size Photograph of Student
*
(png/jpg)
Family Photo.
*
6X4 cm
(png/jpg)
Office Use Only
Date
___________________
Reg No
___________________
Class
___________________
Section
___________________
Sign
___________________
Registration Form
Session 2020-2021
(Submission of this form does not guarantee admission)
Registration for class
*
-- Select Class --
9
Category
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Select
Siblings
Alumni
Regular Teacher's wards
Defence
Outstation (Transfer cases)
Management Seats
Others
EWS
Particular of Pupil:
Name of Pupil (in block letters)
*
Date of Birth (DD/MM/YYYY)
*
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Year
2025
2024
2023
2022
2021
2020
2019
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2017
2016
2015
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2013
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2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Place of Birth
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Gender
*
Gender
Male
Female
Date of Birth (in words)
*
Name of the Present School
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Present Address
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Permanent Address
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Residential Telephone no
*
Particulars of Parents:-
Father
Mother
Name
*
Qualification
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Occupation
*
Designation
*
Company / Employer’s
*
Address
*
If Self Employed, nature of business (Owner / Partner)
*
Mobile No
*
E-mail Id
*
Monthly Income
*
Details of Sibling. (Real brother & Sister)
Name
Age
Name of School / College
Class
School Alumni:
FATHER
YES
NO
YEAR OF PASSING
MOTHER
YES
NO
YEAR OF PASSING
If staying in a joint family, give relationship of other family members
*
What are your expectations from the school?
*
Interests / Hobbies & Special talent of your child
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What arrangement is being made after school if both parents are working?
*
Is your child special need / differently abled child ?
*
Declaration :-
The particulars given above are correct to the best of our knowledge and belief.
We have read all the information regarding fee structure and related expenses w.r.t books, uniform, tour & travels and transport.
We understand that there are constraints of vacancy in each class and admission cannot be confirmed by mere registration.
We also understand the Annual fee hike may go up by 10-15%.
Date
________________
Signature Father
________________
Signature Mother
Footnote: Parents may attach extra sheet of paper as Annexure if feel constraint of writing space.
Incomplete form is liable to be rejected.
Checklist of documents to be submitted along with the form within 2 day in school office.
1.
Date of birth certificate. (Photocopy)
2.
Proof of Residence (Parents)
3.
Photocopy of Students Aadhaar card.
4.
Last 2 years report card (Photocopy)(Class 3 upward)
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