M.P. Birla Foundation Higher Secondary School
James Long Sarani, Behala, Kolkata - 700034. INDIA
Phone : +91 033 2407 0000, +91 033 2868 2620
Email: mpbfhsschool@vsnl.net, mpbfhsschool@bsnl.in
Website: www.mpbfhsschool.com
ONLINE REGISTRATION FORM FOR ADMISSION
SESSION: 2015 - 2016
Serial No. L15-0264
Candidate's Photo
Class to which admission is sought* Gender*
Candidate's Details
First Name* Middle Name Surname/Last Name*
Date of Birth(DD/MM/YYYY)*
Birth Registration Certificate Details (Attach Proof)
Place* State* Date(DD/MM/YYYY)*
Nationality* Category* Vernacular*
[Choice of Second Language]
Religion* Mother Tongue*
Previous School Details, if any
Name of the School
Address of the School
Class in which last studied year (Attach Proof)
Residential Address Details
Address* (Attach Proof)
City* Pin/Zipcode*
State* Country*
Contact Number
Residential Phone Number:* Mobile No. for Communication:*
Parents' Details
Father's Details
Name
Father's Photo
Educational Qualification
Occupation
Mobile No.
e-mail Id:
Office Details
Designation
Organisation
Address
Phone
Mother's Details
Name
Mother's Photo
Educational Qualification
Occupation
Mobile No.
e-mail Id:  
Office Details
Designation
Organisation
Address
Phone
Guardian's Details
Name
Guardian's Photo
Educational Qualification
Occupation
Mobile No.
e-mail Id:  
Office Details
Designation
Organisation
Address
Phone
DETAILS OF OWN BROTHER/ SISTER STUDYING AT PRESENT IN M.P.B.F.H.S.School (if any) Attach Proof
Name Student ID Class Section Session
DETAILS OF ALUMNI PARENT (if applicable)
Name Examination Index nubmer (Attach Proof) Year of passing
Father's Signature --------------------------------------------------Date -------------------------------------------
Mother's Signature --------------------------------------------------Date -------------------------------------------
Both parents must sign the form, except under condition to be explained separately by a covering letter







M. P. BIRLA FOUNDATION HIGHER SECONDARY SCHOOL
James Long Sarani, Behala, Kolkata-700 034
Axis Bank Ltd. S.B. A/C No. 034010100419086
Pay-in-Slip for payment of Registration & Prospectus fees for Admission in Class LKG/KG (2015-16)
Payment can be made in all designated branches (details attached). *Date:
Candidate's Registration No: L15-0264 Class:LKG
Candidate's Name:SOHAM ROY Contact No:9874583523
Registration & Prospectus Fees : 700/- ( Rupees Seven hundred only) for admission. (2015-16)
*Branch Name: Received Cash & Credited in A/C No. 034010100419086
   
*Signature of Depositor
*(To be filled up before submission)
Bank Seal with Signature
N.B :- This receipt is not valid without the seal of the bank, date and signature of the receiving authority.
FEES PAID ARE NON REFUNDABLE OR NON TRANSFERABLE PARENT'S COPY
Cut Here
M. P. BIRLA FOUNDATION HIGHER SECONDARY SCHOOL
James Long Sarani, Behala, Kolkata-700 034
Axis Bank Ltd. S.B. A/C No. 034010100419086
Pay-in-Slip for payment of Registration & Prospectus fees for Admission in Class LKG/KG (2015-16)
Payment can be made in all designated branches (details attached). *Date:
Candidate's Registration No: L15-0264 Class:LKG
Candidate's Name:SOHAM ROY Contact No: 9874583523
Registration & Prospectus Fees : 700/- ( Rupees Seven hundred only) for admission. (2015-16)
*Branch Name: Received Cash & Credited in A/C No. 034010100419086
   
*Signature of Depositor
*(To be filled up before submission)
Bank Seal with Signature
N.B :- This receipt is not valid without the seal of the bank, date and signature of the receiving authority.
FEES PAID ARE NON REFUNDABLE OR NON TRANSFERABLE SCHOOL COPY
Cut Here
M. P. BIRLA FOUNDATION HIGHER SECONDARY SCHOOL
James Long Sarani, Behala, Kolkata-700 034
Axis Bank Ltd. S.B. A/C No. 034010100419086
Pay-in-Slip for payment of Registration & Prospectus fees for Admission in Class LKG/KG (2015-16)
Payment can be made in all designated branches (details attached). *Date:
Candidate's Registration No: L15-0264 Class:LKG
Candidate's Name:SOHAM ROY Contact No: 9874583523
Registration & Prospectus Fees : 700/- ( Rupees Seven hundred only) for admission. (2015-16)
*Branch Name: Received Cash & Credited in A/C no. 034010100419086
   
*Signature of Depositor
*(To be filled up before submission)
Bank Seal with Signature
N.B :- This receipt is not valid without the seal of the bank, date and signature of the receiving authority.
FEES PAID ARE NON REFUNDABLE OR NON TRANSFERABLE BANK COPY
Following designated branches of Axis Bank Ltd. can receive payments of Registration fees for admission in Class LKG/KG, session 2015 - 2016.
Timing : Monday to Friday (9.30 am to 3.30 pm)
                Saturday (9.30 am to 1.30 pm)


1. Behala Chowrasta : Shree Ram A C Complex, 18/5A Raja Ram Mohan Roy Road, Kol- 700008 Ph: 24945203/06
2. Manton : 538 Diamond Harbour Roar, Kol-700034. PH : 2397 1674/75 FAX : 2397 1672
3. Burra Bazar : 4A Chaita Sett Street, Kol-700007. PH : 2268 1458/60/2268 1461/62
4. Dalhousie SQ. : Mukti Chambers, Ground Fjoor, 4 Clive Row, Kol-700001. PH : 2242 0074/75
5. Golpark : 20 Gariahat Road, Kol-700019. PH : 2440 9987/9990/1861
6. New Alipore : 60 Bankim Mukherji Sarani, Kol-700053. PH : 2407 2482/3/4
7. Prince Anwar Shah Road : City High, 85 Prince Anwar Shah
Road, Kol-100033. PH : 2422 6754/55/56
8. Rashbehari Avenue : 41B, Rashbehari Avenue, Kol-700026 PH : 2464 7307/6985/7309
9. Tollygunge : 207 NSC Bose Road, Bansdroni Tollygunge Kol-700040. PH : 2421 1360/61/62/63
10. Maheshtala : Maheshtala Municipality Buliding Budge, Budge Trank Road, Maheshtala, 24 PGS (S), Kol-700141. PH : 2490 3026/3028
11. Amtala : K. E. Carmel School (ADMN. WING) D. H. Road, P. O.-Bidhnuour, PIN-743503. PH : 2480 9101/9424
12. Paddapukur : 58-B, Paddapukur Road, OPP.-Arya Vidaya Samaj, Kol-700020. PH : 2419 0935/36/37/38
13. Raja Ram Mohan Road : 65, Raja Ram Mohan Road, Suniti Towers, Block B Extn, Kol-700082. PH : 2488 6112/5/6
14. Thakurpukur : 308/1A, Diamond Harbour Road. Kol - 63 Ph: 6707 4407 Fax: 22186944
 
STICK THE LABEL BELOW ON THE ENVELOPE
 
Name: SOHAM ROY
Registration No: L15-0264
Class: LKG
Contact No: 9874583523