LOYAL PUBLIC SR SEC SCHOOL
Junction Road, Khurja, (U.P) 203131
Phone Number: 7060053799
Admission Form: 2020-2021

Please fill up and submit this form.

NOTE:

1. Download the registration form (link given below)
2. Submit the details and pay registration fee online.
3. You will receive an acknowledgement mail having registration number and online payment details.
4. Your registration will be treated as provisional until you deposit the duly completed registration form with all relevant documents with the school before the due date.
STUDENT NAME *
FATHER NAME *
MOTHER NAME *
GUARDIAN NAME
ADMISSION IN *
DATE OF BIRTH
EMAIL ID
GENDER * Male Female
CATEGORY *
RELIGION *
NATIONALITY *
MOTHER TONGUE
MOTHER MOBILE NUMBER
FATHER MOBILE NUMBER *
STUDENT AADHAAR CARD NUMBER
PREVIOUS SCHOOL NAME (IF ANY)
FATHER OCCUPATION *
REFERENCE
REFERRED BY
ADDRESS & PHONE NUMBER*


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