Maharaja Agrasen Model School (Sr. Secondary)

CD-Block, Pitampura, Delhi-110034

Website: www.agrasenschool.com E-mail: agrasenschool1985@gmail.com

Telephone No. 011-40453808, 011-47023947 & 7065000678

CBSE Affiliation. No. 2730149 School ID No-1411182

*Established since 1985, well known for an unparalleled educational experience that fosters excellence, innovation & life long learning.
*Smart Classrooms
*Sports Academy
*ATL, Maths, Science and Computer labs
*Art Studio
*GPS Enabled School Transport

BALVATIKA -1 / PRE-SCHOOL -1 REGISTRATION FORM

Session: 2026-2027

Already Registered

STUDENT'S INFORMATION

First Name
Middle Name
Last Name
Class
Date of Birth
Age as on 31/03/2026
Gender
Category
Nationality
Mother Tongue
Aadhar No
Does the child have any special needs?
If Yes please give details

FATHER'S/GUARDIAN'S DETAILS

First Name
Middle Name
Last Name
Mobile No.
Email Id
Aadhar No
Father's Year of leaving school

MOTHER'S INFORMATION

First Name
Middle Name
Last Name
Mobile No.
Email Id
Aadhar No
Mother's Year of leaving school

ADDRESS INFORMATION

Present Address
Country
State
City
Postal Code
Residential Phone No.
Permanent Address
Country
State
City
Postal Code
Residential Phone No.

ADDITIONAL INFORMATION

Distance From School
Area
First Child
Is any sibling studying in this school?
Name
Admission No.
Class
Do you have twins?
Name of the twin
Date of Birth (DOB)
Gender

POINT CRITERIA

S.No. Criteria Specifications Range of Points
1 Neighbourhood 0-10 km – (50)
Above 10 km – (40) 		50
2 Sibling - 20
3 First Child - 10
4 Alumni - 20

UNDERTAKING

  1. I hereby declare that the information given above by me is based on facts and authentic records. I authorize the School to cancel the admission of my ward if any information is found to be false at a later stage.

  2. I will submit all the necessary and original documentary proofs for verification of the above registration details at the time of admission.

  • In case you are filling forms for twins ,please remember to mention the registration numbers on the forms of both the twins manually before submitting the hard copy of the form at the school gate.
  • The self-attested print copy of the duly filled form should be submitted at school gate (in Drop Box) by December 27, 2025.
  • Parents can visit the school on any working day from 9:00 AM to 12:00 Noon (Preferably with prior appointment over phone).