Registration FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Branch *Jopling RoadStudent Name *FirstLastPresent AddressTelephone (with code)Student Email *Gender MaleFemaleClass in which admission is sought *SectionType of SchoolBoarderDay BoarderDay ScholarName of the real brothers/sisters studying at the Lucknow Public CollegiateFather Name *FirstLastFather's Office AddressFather's Phone No *Mother's Name *Mother's Office AddressMother's Phone No *Local Guardian NameLocal Guardian AddressLocal Guardian Phone No.Position in class in last examination at previous school *No of students in last examination at previous schoolProficiency in games, hobbies and cultural activities (debates, dramatics, music etc.). Give specific detailsMedical: Any special instruction / information regarding medical mettersDetails of a person responsible for the payment of fees: Name of responsible person *Address of responsible personPhone No of responsible personEnclosureOriginal B.C.Original T.C.Original Studying CertificateWhether your ward *is an Anglo-Indianmother tonguels Hindiis a foreigneris Muslimis a Christianis any other minorityCasteis any other minoritybelongs to SC/ST/OBCBelongs to other state (any other language)YesNobelongs to LUCKNOW (U.P.)YesNoparent employed in All India Services (Central Government Employee)YesNoMother tongue isSubmit
