J.P. Sunrise School

A SENIOR SECONDARY SCHOOL (10+2), AFFILIATED TO CBSE, NEW DELHI

GORAKHNATH, GORAKHPUR

REGISTRATION FORM

1. Student's Name :
2. Sex :	Male Female
3. Date of Birth (Certificate to be attached) :
4. Father's Name :
5. Mother's Name :
6. Occupation :	Annual Income :
7. Address :
8. Telephone Number :
9. Class for which Admission is Sought :
10. Name of the Institution last attended :
11. Class last attended :

FOR REGISTRATION TO CLASS XI ONLY

1. Student's Status (Tick the correct Box)
A Student of this School School Student	B Student of a School following CBSE Syllabus CBSE	C Student of a School following other than CBSE Syllabus Other Board

2. Marks statement in the qualifying examination
Name of the Exam:
Name of the Board:
Name of the School:

*Only the above mentioned subject's percentage should be counted in aggregate
Note: Attach attested Statement of Marks Copy

Note: If less than 5 students opt for a combination, it may not be allotted.

Stream	Science Group		Commerce Group
Stream	Compulsory	Optional	Compulsory	Optional (Any 1)
Maths	Maths, English Physics, Chemistry	Hindi Computer Science	English Business Studies Accountancy Economics	Hindi Computer Science Math Physical Education
Biology	Biology, English Physics, Chemistry	Hindi Computer Science	Commerce

Signature of Parent/Guardian

Signature of Student