Contact Form

JNANA GANGA CENTRAL SCHOOL
(Affiliated to CBSE New Delhi Affi No 830212)

Near Gowri Hole, P.O:Bellare-574212, Sullia Tq., D.K.

Application form for change in Address or Phone Number

APPLICANT'S PARTICULARS EXISTING IN SCHOOL RECORDS AS ON DATE

1. Name : ..........................................................................................................................................................................

2. Class :.....................................Section :......................................Admission Number :.................................................

3. Father's / Guardian's Name :.........................................................................................................................................

4. Address :.......................................................................................................................................................................

..........................................................................................................................................................................................

5. Phones :....................................................................(R)...........................................................................................(O)

6. Mobile :...............................................................(Father)......................................................................................(Mother)

7. E-mail :.........................................................................................................................................................................

CHANGES SOUGHT TO BE MADE

1. Please change my residential address in School's records as follows w.e.f : ..............................................................

..........................................................................................................................................................................................

2.Subsequent to the aforementioned change our telephone nos. have Changed Not Changed

The new phone numbers are :.........................................................................................................................................

3. The emergency phone no. listed in our child's Almanac/I-Card has :Changed Not Changed

The new emergency phone number is :..................................................................................................................

....................................................
Signature of Parent

FOR OFFICE USE ONLY

As per the request of the parents the changes as requested for have been recorded in all relevant documents/files/school records.

Authorized Signatory

Received by principal's Office on .......................and change recorded in student's file. Initials……..............Date……….....

Received by Admn.Off./ Accounts on ………………………and change recorded in the files. Initials……..Date…...........

Class Teacher intimated of the change on ……………..by …………………….. Initials……..Date………..............

Transport In- Charge intimated on …………………….. Change noted in Bus Records. Initials……..Date…...................

New Set of 1 -Cards issued on………………………… Initials……............Date…...............