Lions Bal Vidya Mandir Sr. Sec. School
Registration Form
Class ** :
Session :
     First Name                                         Middle Name                                    Last Name
1.Name of the applicant **  **          
2.Date of birth **  As on 1st april 2020
3.Father's Name
4.Mother's Name
5. State
6.Residential Address **
7. Pincode
8. Select Locality
8. (a) Present School
(b) Recognised/Unrecognised:
(c) Affiliated to (CBSE/ICSE/U.P. Board):
(d) Nationality of the child:
(e) Religion:
(f) Class in which last studied:
(g) Medium of Instruction:
9. Contact Mobile No. (s)**  Whatsapp No :
10. Email Address
11. Sibling Real brother/sister only
[Tick the appropriate]
If sibling in the same school, Sibling Name 
Give details of sibling Class-Section 
12. Whether SC/ST/OBC/Gen.
13. School Alumni
[Tick appropriate] If Yes, year of passing
(A) Father
(B) Mother
14. Child with Special Needs
[Enclose authenticated documents]
15. Educational Qualification
Post Graduation Graduation Sr. Secondary school Secondary School
[Tick highest qualification only]
OR OR Examination (10+2) Examination 10th
Professional Degree Equivalent OR Equivalent OR Equivalent
(A) Father
(A) Mother
16. Gender(Boy/Girl)
17. Parents Occupation
Father   Occupation
Organisation Name
Organistion Add.
Mother   Occupation
Organisation Name
Organistion Add.
18. Single Parent
[Tick the appropriate]
19. Whether Transport Required? 
20. Total Income 

A Declaration
1. I hereby declare that I have carefully gone through & understood the mentioned rules in the prospectus
and shall abide by them. I also declare the above particulars to be true. I understand that the
registration does not mean a right to admission.
2. I further undertake to abide by the School Rules.
3.New student scoring above 80% in previous class will get direct admission without admission test. New student scoring below 80% in previous class will have to go under admission test.
4.For fees detail kindly contact - Jr. Wing(class NC to VII) : Mr. Sanjeev Sharma Contact No. 9410819201
Sr. Wing (class VIII, IX, XI) : Mr. Avdesh Gangwar Contact No. 9411497474