Lisieux CMI Public School

Please fill in this form - Application for Pre-admission

Name of the Pupil (As per Birth Certificate):
Class for which Admission is Sought:
Date of Birth (As per Birth Certificate):
Gender:
Upload passport size photo (scan copy):
Blood Group:
Aadhar Number:
Religion:
Nationality:
Mother Tongue:
Class last studied:
Year of last studied class:
Qualified for promotion:
Board of Study:
Second Language:
Third Language:
Father's Name:
Father's qualification:
Father's Occupation:
Mother's Name:
Mother's qualification:
Mother's Occupation:
Permenant Address:
Present Address:
Landline Number:
Father's Contact Number:
Mother's Contact Number:
Whatsapp Number One:
Whatsapp Number Two:
Email ID:
Siblings in this school (Name and Class):

After submitting the application for Pre-admission, Please check your Mail for your Copy of the application.