OM Parkash Bansal Modern School, Mandi Gobindgarh
Address
RIMT Campus, P.O. Box No. 82, Mandi Gobindgarh - 147301.
Phone no.
01765-523101
Email Address
opbms@rimt.ac.in
Website
www.opbms.in
Registration Form
Register by entering the information mentioned below
Admission for Class
*
Select
Ankur
Konpal
Pallav
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Please Select For Applied Class!
Session
2024-2025
Student Details
First Name
*
Student First Name!
Last Name
Student Photo
DOB of Child
*
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Month
Date
year!
Month!
Date!
Age as On 31st March,
2024
Gender
Select
MALE
FEMALE
Aadhar No / Enrollment No
Stream for XI Std only
SELECT
MEDICAL
NON-MEDICAL
COMMERCE
HUMANITIES
Parent's Details
Father’s Name
*
Please Enter Father Name!
Father’s Occupation
*
Please Enter Father Occupation!
Father’s Education
Office Address
Mother’s Name
*
Please Enter Mother Name!
Mother’s Occupation (If working)
Mother’s Education
Parents Annual Income(all sources)
*
Annual Income
Only Numbers allowed
Other Information
Residential Address
*
Please Enter Home Address!
City
*
Please Enter City
State
*
Please Enter State
District
Pincode
Contact No.
*
Please Enter Mobile No.!
Please Enter Ten Digit Mobile No only
Additional Contact No.
*
Please Enter Mobile No.!
Please Enter Ten Digit Mobile No only
Email Address
*
Invalid email address
Please Email Address!
School Last Attended
Reason for leaving
Would the Transport facility be availed
Select
YES
NO
Reference
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Friends
Relatives
Newspaper
Internet
Any Other
Sibling Information
Whether any of your child is already studying in our school
Select
YES
NO
Remarks
Declaration (Please accept all declarations)
*
I / we certify that the field-in/declared - information is correct.
I / we understand and agree that the incorrect information espacially with regard to date and marksheet disqualifies the child for admission.
I / we understand fully that the school on accepting the registration fee and on registering the name is not in anyway bound to give admission in the school. The applicant shall have no right to claim the refund of the registration fee.
The Principal reserves the right of admission.