Call:+91-7985947317
Email: bmisedu@gmail.com
Home
About Us
About Us
Vision & Mission
Academics
Courses
Fee Structure
Facilities
Mandatory Public Disclosure
Gallery
Photo Gallery
Video Gallery
Contact Us
Enroll Your Kid
Home
About Us
About Us
Vision & Mission
Academics
Courses
Fee Structure
Facilities
Mandatory Public Disclosure
Gallery
Photo Gallery
Video Gallery
Contact Us
Enroll Your Kid
Registration Form
Home
Pages
Registration Form
Registration Form
Branch
--Select Branch--
Begaria, Dubagga
Student First Name
The field is required.
The field is required.
Student Last Name
The field is required.
The field is required.
Telephone (with code)
Student Email *
Email is required.
Invalid email format.
Please enter a valid email address.
Gender
--Select Gender--
Male
Female
Class in which admission is sought *
The field is required.
The field is required.
Section
Type of School
--Select Type of School--
Boarder
Day Boarder
Day Scholar
Name of the Real Brothers/Sisters studying at the Lucknow Public Collegiate
Father First Name
The field is required.
The field is required.
Father Last Name
The field is required.
The field is required.
Father's Office Address
Father's Phone No *
Phone number is required.
Please enter a valid phone number (10 digits).
Mother's Name *
The field is required.
The field is required.
Mother's Office Address
Mother's Phone No *
Phone number is required.
Please enter a valid phone number (10 digits).
Local Guardian Name
Local Guardian Phone No.
Phone number is required.
Please enter a valid phone number (10 digits).
Position in class in last examination at previous school *
The field is required.
The field is required.
No of students in last examination at previous school
Proficiency in games, hobbies and cultural activities (debates, dramatics, music etc.). Give specific details
Medical: Any special instruction / information regarding medical matters
Details of person responsible for the payment of fees: Name of responsible person *
The field is required.
The field is required.
Address of responsible person
Phone No of responsible person
Enclosure
--Select Enclosure--
Original B.C.
Original T.C.
Original Studying Certificate
Whether your ward *
Is an Anglo-Indian
Mother tongue is Hindi
Is a foreigner
Is Muslim
Is Christian
Is any other minority
Caste
Belongs to SC/ST/OBC
At least one checkbox must be selected.
Belongs to other state (any other language)
Yes
No
belongs to LUCKNOW (U.P.)
Yes
No
parent employed in All India Services (Central Government Employee)
Yes
No
Mother tongue is
Yes
No
