PAKISTAN KANGAROO COMMISSION

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            PAKISTAN KANGAROO COMMISSION
                                STUDENTS REGISTRATION FORM
                       International Kangaroo Mathematics Contest 2010
                                     www.kangaroo.edu.pk
PART-I
INSTRUCTIONS

     Medium of Examination (Written Test) will be English Only.
     Please fill all the columns with black permanent ink in block (Capital) letters only.

     A separate registration sheet may be used for each class. (Don’t register the names of
      students from different classes on one sheet).

     Institutions will be highly appreciated to encourage their students to participate in the
      contest without short listing. It is pertinent to mention that this contest is meant to promote

      problem solving skills among students and to provide them an opportunity to compete at
      international standards.

     Minimum Participation from a particular class is ten. The registration of less than 10
      students from a class will not be accepted in any case and application will be rejected

      without acknowledgement.
     The registration fee once deposited is non refundable and non transferable.
     The first registration from institution shall be considered final. Any change in the
      registration such as addition / replacement or cancellation is not possible at any stage after

      the first registration.
     The registration deadline is fixed 30 January, 2010 which could not be extended in any

      case. The contest will be held on 18 March, 2010.
     The participation fee is Rs.500 per student, the Bank draft / Pay order should be prepared

      in favor of PAKISTAN KANGAROO COMMISSION - LAHORE from any bank. Cross
      Cheques, postal orders and cash etc will not be accepted.

     The registration forms complete in all respect may be sent at following Postal Address:
                     President
                     Pakistan Kangaroo Commission,
                     70-B, New Muslim Town

                     Lahore - Pakistan.
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PART-II


Institution’s Name: _____________________________________________________________________

Postal Address: ________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

City:________________________ Tehsil:______________________ District:______________________

Phone 1:____________________ Phone 2:____________________ Fax: ________________________

Email: ____________________________________ ___________________________________________



PART-III


CONTACT PERSON - I

Principal’s Name: ___________________________________________________________________________________

Phone Res: ___________________ Phone 2:_______________ Phone Cell: ____________________

Email: _____________________________________________________________________________

CONTACT PERSON-II (COORDINATOR)

Principal/Head of institution must nominate a person as a coordinator who can be contacted on
behalf of Principal.

Name & Designation: __________________________________________________________________

Phone Res:___________________ Phone 2:_______________ Phone Cell:_______________________

Email: _______________________________________________________________________________
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PART-IV
Class wise Summary of the registered students:

                                CLASS                           NO OF REGISTERED
                                                                   STUDENTS
            Class Three
            Class Four
            Class Five
            Class Six
            Class Seven
            Class Eight
            Class Nine OR equivalent Level
            Class Ten OR equivalent Level
            Class Eleven OR equivalent Level
            Class Twelve OR equivalent Level
            TOTAL NO OF REGISTERED STUDENTS


PART-V
   2. Courier & Mailing Service option:

   The commission will send you examination material & correspondence by using two mailing
   options:
            1. Courier Service TCS.

              2. Pakistan Postal services (Registered or UMS mails).


   (Please indicate above your choice by ticking the appropriate box. Please re-insure from the TCS that
   your institute is located in a serviceable area of TCS.)

PART-VI
It is certified that the information given in this registration from is true and correct as per available
office records. I have read and understood the rules and regulation of the contest and I also
hereby agree to bind myself to abide by all rules and regulations of the international Kangaroo
Mathematics contest 2010. I have enclosed Bank draft / Pay order in original bearing No:
___________________ Dated: ___________________ Amounting to Rs.(In Figures)____________________as a
registration fee for total number of students as mentioned in (Part-IV) of the registration
application @ Rs.500 per student.
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       SIGNATURES & STAMP
PRINCIPAL /HEAD OF THE INSTITUTION
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                           STUDENTS REGISTERATION FORM
                             REGISTERATION SHEET (CLASS WISE)
                                           CLASS__________

A separate registration sheet may be used for each class. (Don’t write the names of students from
different classes on one sheet).
          Institution’s Name: ______________________________________________________________
           Address: ______________________________________________________________________

             ______________________________________________________________________________

      S.NO                STUDENTS NAME                              FATHERS NAME




                            SIGNATURE & STAMP OF THE PRINCIPAL