Kutiyana Memon Model Academy

IMPORTANT NOTICE

This form is only valid for candidates born between 1st Oct 2022 and 30th Sep 2023. Parents of over & under age candidates can reach out to the Admission Department (Mon-Fri between 10am & 2pm).

We'll review your application and respond soon via WhatsApp at the number you've provided.

Registration fee is NON-REFUNDABLE and to be paid at the time of submission.

CANDIDATE'S INFORMATION

Name of the candidate (as per 'B' Form)

Date of Birth Candidate may be born between 1st Oct 2022 and 30th Sep 2023

Place of Birth

Nationality

Gender

PARENTS' INFORMATION

Father's Name

Father's CNIC # Format: XXXXX-XXXXXXX-X

Father's Nationality

Father's Academic Qualification

Father's Occupation

Father's Cell Number Format: 03XXXXXXXXX (11 digits)

Mother's Name

Mother's CNIC # Format: XXXXX-XXXXXXX-X

Mother's Cell Number Format: 03XXXXXXXXX (11 digits)

Caste

Residential Address

PARENTS' CNIC IMAGES

IMPORTANT NOTE

Please upload clear images of both sides of Father's CNIC (Required). Mother's CNIC images are optional but recommended.

Father's CNIC: Front and Back sides (Required)
Mother's CNIC: Front and Back sides (Optional)
Only JPG, JPEG, PNG images accepted (Max 5MB each)
Ensure all details are clearly visible

Father's CNIC - Front Side

Upload Father CNIC Front Image

Choose Image

Max file size: 5 MB | Formats: JPG, JPEG, PNG

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Father's CNIC - Back Side

Upload Father CNIC Back Image

Choose Image

Max file size: 5 MB | Formats: JPG, JPEG, PNG

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Mother's CNIC - Front Side (Optional)

Upload Mother CNIC Front Image

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Max file size: 5 MB | Formats: JPG, JPEG, PNG

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Mother's CNIC - Back Side (Optional)

Upload Mother CNIC Back Image

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Max file size: 5 MB | Formats: JPG, JPEG, PNG

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IN CASE OF EMERGENCY (ICE)

Emergency Contact 1 - Name

Relationship

Contact Number

Emergency Contact 2 - Name

Relationship

Contact Number

OTHER DOCUMENTS TO BE SUBMITTED (IMAGES ONLY)

ATTACH CLEAR PHOTOCOPIES/PHOTOS OF:

Birth Certificate from NADRA (Photo/Scan)
Candidate's recent passport-size photograph

Only JPG, JPEG, PNG images accepted (Max 5MB each)

Candidate's Passport-size Photograph

Upload Passport-size Photo

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Max file size: 5 MB | Formats: JPG, JPEG, PNG

Photo Preview

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Birth Certificate /B Form (Image)

Upload Birth Certificate Image

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Max file size: 5 MB | Formats: JPG, JPEG, PNG

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Jammat Card (Optional)

Upload Jammat Card

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Max file size: 5 MB | Formats: JPG, JPEG, PNG

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UNDERTAKING

Terms and Conditions

1. The school reserves the right to refuse admission to the student, should it have cause to believe that the age of the child lies outside the recommended age criteria. This is at the sole discretion of the school. If the age of child is subsequently found to lie outside the criteria, his/her place will be forfeited.

2. If it is found subsequently that any information is incorrect, false or misleading, it will result in withdrawal of the applicant.

3. The registration fee is NON-REFUNDABLE and to be paid at the time of submission of this application form.

I declare that all the particulars given above are correct in all respects and I agree to the terms and conditions mentioned above.

KUTIYANA MEMON MODEL ACADEMY

Terms and Conditions