IEM Public School

*ADMISSION OPEN FROM PLAY GROUP TO CLASS V*, Office Address: IEM Public School, New Town, Street Number 279, DD Block New Town, West Bengal 700156 Dial Us Today- 0335299787, 8010700500.
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IEM PUBLIC SCHOOL, NEW TOWN

Following CBSE Curriculum

An initiative of IEM Group, Kolkata

+9147059775
+9147059774
  9831071659

IEM PUBLIC SCHOOL

CBSE, New Town

An initiative of IEM Group, Kolkata

 
ADMISSION FORM FOR THE SESSION 2023-24
 
     
Note: Columns marked with * are compulsory to fill in.
Admission Number*
Admission To Class*
Academic Year* 
Student's Photograph*
Father's Photograph*
Mother's Photograph* 
Student Name* 
Gender

            
 
 Date of Birth*
(DD/MM/YYYY) 
 Nationality*
 
Preferred Second Language

            
 
Religion*
Mother Tongue*
Present Address*
Permanent Address*
   Same as Present
  Full Address: 
Pin Code  
Aadhar Number Of Child* 
   Details Of Preschool if applicable
Present School Name
Class
Address: 
   Candidates's Family Information ( All Names should be in full (including surname if any). Initials and titles are not allowed)
Father's Name*
Academic Qualification*
School/college* 
Occupation & Designation* 
Office Name & Address* 
Mobile*
Phone(O)*
Email* 
Mother's Name*
Academic Qualification*
School/college* 
Occupation & Designation* 
Office Name & Address* 
Mobile*
Phone(O)*
Email* 
Total Family Income Per Month* 
 Brothers/Sisters of student and school details
Name Of Sibling* Age* 
Class* Name of School/College*
Name Of Sibling* Age* 
Class* Name of School/College*
Name Of Sibling* Age* 
Class* Name of School/College*
 
Proficiency in Other Languages / Sports / Other activities* 
 Other family members staying with the Student (Brothers/Sisters/Grandparents etc.)
Name* Relationship* 
Age*
Name* Relationship* 
Age*
Name * Relationship* 
Age*
 
Has the child suffered from any major illness recently? If yes, please mention the illness.* 
 
Does the child have any chronic ailment/allergy/any other medical history?* 
 Contact Persons (In case of emergency)
Name*
Relation with the Student*
Mobile*
Phone(O)*
Phone(R)* 
Family Doctor's name* 
Mobile*
Phone(O)*
Phone(R)* 
Child's Blood Group* 
 What would you like your child to grow up to be ? (Express in brief )
 

We (the Parents / Guardian) promise to co-operate with the School in all matters and follow the rules and regulations of the School. We undertake to pay the School Fees, Transport Fees and other expenses, as it will be notified from time to time by School Authorities that pertain to the education and well-being of our child / children in IEM Public School. We will communicate one-to-one with the School Authorities regarding any clarifications or issues that may arise and not form groups or associations with other parents or third parties that may disrupt the peaceful working environment and atmosphere of the school in any way.


I/We hereby declare that all the information furnished in this form is correct.

Father's Signature*
Mother's Signature*
Date*
Date*