PAKISTAN KANGAROO COMMISSION
STUDENTS REGISTRATION FORM
International Kangaroo Mathematics Contest 2010
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
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
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:
Pakistan Kangaroo Commission,
70-B, New Muslim Town
Lahore - Pakistan.
Institution’s Name: _____________________________________________________________________
Postal Address: ________________________________________________________________________
City:________________________ Tehsil:______________________ District:______________________
Phone 1:____________________ Phone 2:____________________ Fax: ________________________
Email: ____________________________________ ___________________________________________
CONTACT PERSON - I
Principal’s Name: ___________________________________________________________________________________
Phone Res: ___________________ Phone 2:_______________ Phone Cell: ____________________
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:_______________________
Class wise Summary of the registered students:
CLASS NO OF REGISTERED
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
2. Courier & Mailing Service option:
The commission will send you examination material & correspondence by using two mailing
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.)
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.
SIGNATURES & STAMP
PRINCIPAL /HEAD OF THE INSTITUTION
STUDENTS REGISTERATION FORM
REGISTERATION SHEET (CLASS WISE)
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: ______________________________________________________________
S.NO STUDENTS NAME FATHERS NAME
SIGNATURE & STAMP OF THE PRINCIPAL