BOARDING APPLICATION FORM
Application Date Registration No.
Student Details:-
Pupil’s Surname
Middle Name Photograph
Fore Name
Boarder
Admission Sought as Blood Group
Day Scholar
Date of Birth Category Gender Male Female
Parent/Guardian Details
Mr/Dr/__
Name of both parents
and if relevant, guardian Miss/Mrs/Ms/Dr/__ Relationship to student
Mr/Miss/Mrs/Ms/Dr/__
Person to correspondence
Address:- Postcode/Pincode
Parent/Guardian email:-
Parent Telephone Numbers Home:- Mobile:-
Pupils Address if Different:-
Emergency Contact Person to call ____________________ Relationship_______________ Tel. Nos. to call_______________
Bus Facility (For Day Boarders Only) Would your child be using bus facility? Yes No
If Yes, Name of bus stop/locality ______________________________
Is there a sibling currently attending the school? Yes
If Yes: Name of Sibling & Year Group: _______________________________________________________
Present School Details (We need to contact the school for a reference as to suitability for Boarding)
School Name:- Address:-
Contact No.:- Email:-
Please forward this completed form to : The Admission Office “Green Mount Global School”. or by email to greenmountglobalschool@[Link]
Tel:- +91-8979900361, 9997011448,8979882660
Declaration of Parents/Guardians:
I Mr./Mrs. ________________Parent/Guardian of _________ hereby declare that the information given by me in this
admission form is correct and the documents submitted are authentic. I am aware that if any of the documents submitted
to the school is found to be false/ incorrect the admission of the student will be instantly cancelled and the fees paid will
not be refunded.
I am also aware and agree to the condition that if my ward violates any of the rules or regulations of the school or
behaves in an undisciplined manner, I will accept any decision taken by the school authority with regard to him/her.
I also understand that the Principal of the school has the authority to remove the student from the school or hostel at any
time for the poor academic performance or for any misconduct. I understand that although the school will take all the
possible care and precaution about the safety of the student while he/she is in the campus or during outgoings or on
sports ground but the individual safety is the responsibility of the student himself/herself. The school does not accept
liability in case of unforeseen accidents or illness.
_________________ _________________ _________________
Father’s Name Mother’s Name Guardian’s Name
_________________ _________________ _________________
Signature Signature Signature
(For School Record) (For School Record) (For School Record)
Admission granted in class ________ in Academic Year 2016-2017
_________________ _________________
Signature with Date Signature with Date
(Admission Officer) (Principal)