Registraion Form

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Application For Admission Year : 2020-21
First Name Middle Name Last Name
 
Date Of Birth :   Day   Month   Year Copy of Birth Certificate :  
Age :   Year   Months   Days Birth Place :  
Gender :   Male   Female Blood Group :  
 
Class to which Admission is sought :   Nationality :   Caste :  
 
Details of Previous Schooling (If Any) School Leaving Certificate :  
Health Information
Any Food / Any Allergy ( If any, treatment given normally )
Past Medical History ( Any Significant Past illness / surgeries)
Does your child have any physical challenges, learning difficulties or special needs? If Yes, give details? Please Enclose any test result by Doctor
Particulars of Parents
  Father Mother
Name
Qualifications
Designation
Organisation
Residence Address
Office Address
Office Telephone
Mobile No.
Email Id
Nationality
Pan No.
Person to be Contacted in case of Emergency ( Other than Parents )
Name Relationship Address Phone No.
 
Hobbies And Intrests of your Child
Other