ADMISSION APPLICATION

THE INDIAN PUBLIC INTER COLLEGE
Vinay Khand - 4, Near Mini Stadium
GOMTI NAGAR, LUCKNOW,
UTTAR PRADESH, INDIA
+91 0522 00000000
+91 8400007632

Email Address

Application Date

Last Name

First Name

Date of Birth

Gender

Religion

Cast

Admission Sought in Class

Father's Name

Father's Occupation

Father's Qualification and Designation

Father's Annual Income

Mother's Name

Mother's Occupation

Mother's Qualification & Designation

Mother's Annual Income

Address

Phone Number

Name of the Last School Attended

Last Examination Passed

Do you require School Transport

How will the student come to school

IMPORTANT INFORMATION:
1. Please attach the scanned copy of : Birth Certificate and Last class report card.
2. Once you submit the Enquiry Form, school authorities will communicate you through E-mail / Phone for further proceedings.

ACKNOWLEDGEMENT:
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately.

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