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.
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