Lakshmipat Singhania Academy Bissau

Registration Form

  • Balrasar - Tanwaran, P.O. Ranasar Dist - Churu, Rajasthan - 331001
  • 01595-264110 | +91 7428682225 info@lsabissau.com
  • Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 

Sibling Details

Sibling (Real Brother/ Sister) only studying in Lakshmipat Singhania Academy Bissau   
 
Admission No.
Sibling Name
 
Sibling Class
 

Student Details

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Date of Birth*
Admission sought in class*
 
Category
Religion
 
Nationality
Blood Group
 
Email*
Mobile No.*
 
Mother Tongue
Student's Photo (Max-2 MB)*
 

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

Father Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile No.*
 
Father's Photo (Max-2 MB)*
 
 

Mother's Details

Mother Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.
 
Mother's Photo (Max-2 MB)
 
 
 

1. A self-attested copy of birth certificate of the child along with original for verification. The certificate issued by Municipal Corporation only is valid.
2. One Passport Size Photograph of Father, Mother and the child is mandatory.
3. Original bonafide certificate is compulsory at the time of registration.
4. Transfer Certificate of current school (compulsory for admission to classes II onwards). TC from the previous school must be submitted within 15 days after the commencement of the academic session.
5. A copy of previous year report card / mid-term report card.

Please bring the original documents to be verified at the time of submission of the photocopies.

 
 
I Agree