Lourdes Convent School – CBSE Provisional Form
1. Particulars of the Pupil
Pupil’s Name
Surname
Father’s Name
Mother’s Name
Date of Birth
Place of Birth
Gender
MALE
FEMALE
Religion
Caste
Sub Caste (certificate attached)
Select
GENERAL
OBC
SC
ST
Mother Tongue
Nationality
Aadhaar card
Name of the School (Last Attended)
Class
Percentage
Grade
Residential Address
City
State
Pincode
Email
Blood Group
Select
A+
A-
B+
B-
O+
O-
AB+
AB-
Chronic / Serious Illness
Select
No
Yes
Child’s Interest
Telephone number
Father Phone
Mother Phone
Father WhatsApp
Mother WhatsApp
2. Particulars of Parents
Father / Male Guardian Name
Age
Nationality
Religion
Education
Occupation
Annual Income
Office Address
School
College
Professional Institution
Mother / Female Guardian Name
Age
Nationality
Religion
Education
Occupation
Annual Income
Office Address
School
College
Professional Institution
3. Other Particulars of the Family
Family Type
JOINT
SINGLE UNIT
SINGLE PARENT
No. of Brothers
No. of Sisters
Real Siblings studying in Lourdes Convent School
No.
Name
Standard
Division
1
2
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