Online Registration Form Nur - IX Form


   Personal Details

(*) Marks fields are mandatory to fill up
Male Female
Local Relocating Parents getting transferred
same as present address
School Bus Car Pool Private
General SC ST OBC
General Staff
Yes No

   Previous School Details

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English 2nd Language 3rd Language Mathematics Science Social Science EVS Others

   Achievements in Co-Curricular Activities

Discipline Achievement

Parent's Details

(*) Marks fields are mandatory to fill up
Service Business Professional Others
Service Business Professional Others

Sibling Details

Sibling in NTS     Yes      No


Name of Sibling School/College Name Class

Record of Counselling

Date of
Referral		 Name of the
Institute/
Hospital 		Name of the
Clinician/
Counsellor		 Nature of the
Complaint/
Area(s) of concern		 Evidence of Intervention/
Treatment(Medication/
Psychological
Assessment(s)/Therapy)		 Duration
(Number
of Sessions)		 Whether Presently
Undergoing/Continuing
with the Counselling
(Y/N)
Date of
Treatment		 Name of the
Institute/
Hospital 		Name of the
Clinician/
Psychiatrist		 Nature of the
Complaint		 Evidence of Intervention/
Medication
(if any)		 Duration of Medication Whether Presently
Undergoing/Continuing
with the Counselling
(Y/N)

Other Details

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I/We(Father's Name) & (Mother's Name) do hereby state that all the above mentioned details provided by me/us are true in all respects. In case of a discrepancy, the School Authorities reserve the right to cancel the Registration Form as well as the admission of the child.

 We understand that the school management reserves the right to allot the date of evaluation/assessment/interaction as per its convenience.