Registration Form

For offical use only

Reg. No Fill out this Registration Form in BLOCK LETTERS. This information will be considered correct and accurate regading school records.

Student Photo

Please attach a passport size photo of the applicant

Registration (For)

Grade

Year

Personal Details (Applicant)

First Name

Middle Name

Surname/Family Name

Date of Birth (dd/mm/yyyy)

Place Of Birth (City,Country)

First Language (The applicant`s mother tongue)

Nationality

Religion

Passport Number

Blood Group

Academic Record (Applicant)

Name of the last school attended

Last class attended

School telephone Number (Include country and area codes)

School Email

School Address

Co-curricular activities or other achievement (if any)

Contact Details (Parents/Guardian)

*Compulsory Please attach a passport size photo of Father/Guardian

*Compulsory Please attach a passport size photo of Mother/Guardian

Full Name of Father/Guardian

Full Name of Mother/Guardian

Date of Birth (dd/mm/yyyy)

Nationality

Guardian's relationship with the applicant

Contact No.

Email Id

Skype Id

Principal's Approval/Comments:

Permanent Address

Current Address (If different from permanent)

Pin code

Sibling Details (Applicant)

Full Name

age

Gender

Full Name

age

Gender

Full Name

age

Gender

Alumna Relation

Whether any Cousin has studied or is studying at MussoorieInternational School?
If yes, Please Provide:

Full Name

Current class or last class attended

No. of years at Mussoorie International School

Did the mother of the applicant study at Mussoorie International School?
If yes, please Provide:

Full Name

Current class or last class attended

No. of years at Mussoorie International School

Declaration

I have read and fully understood the provision of the Prospectus.
I declare that the information provided by me in connection with this registration form is true and complete.
I/We declare that the above is true to the best of my/ our knowledge and I/We undertake to pay the School Fees, for the First Year on the day of my daughter joining the school. the yearly fee is not refundable under any circumstances.
I understand that the place of Jurisdiction is Mussoorie/Dehradun.

Signature of Father

Date of Birth (dd/mm/yyyy)

Signature of Mother

Date of Birth (dd/mm/yyyy)

Admission Criteria	Proficiency Test in English & Mathematics
Syllabus	Grade in which the student is studying at present.
Enclosure	(1) Passport Size Photograph (2) Attested copy of Certificate of Birth

For offical use only

Student Photo

Registration (For)

Personal Details (Applicant)

Academic Record (Applicant)

Contact Details (Parents/Guardian)

Sibling Details (Applicant)

Alumna Relation

Declaration

Signature of Father

Signature of Mother

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