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Admission Form
Name of the Child (Full name in block letters) *
Profile Image:
Date of Birth (dd/mm/yyyy) *
Place of Birth *
Place of Origin *
Age in Years *
Months *
Gender*
Religion *
Nationality *
Mother Tongue *
Blood Group *
Medical Details:
a. Allergies (if any);
b. Surgeries (if any);
c. Chronic (if any);
d. Immunization:
YES
NO
(kindly upload a copy of the Immunization record along with the form)
Upload Image:
Father Details:
Name *
Upload Image:
Qualification *
Occupation *
Place of Work *
Official Address *
Email ID *
Mobile No *
Mother Details:
Name *
Upload Image:
Qualification *
Occupation *
Place of Work *
Official Address *
Email ID *
Mobile No *
Residential Address:
Residential Address *
Residential Phone No:
Residential Phone No *
Sibling Details :
No of Child *
Name of the Child *
Gender *
Age *
Class *
School *
Previous history :
If the child (applicant)has attended school / day care previously:
YES
NO
Name of the school / Day care *
Duration *
Class attended *
Emergency Contact Details :
This detail will be used during emergency when both parents are not available
Address *
1. Mobile No *
1. Relationship with the chid *
Guardian Details :
To be filled in case the child is taken care by the person other than the parents
Name *
Relationship with the chid *
Phone No *
Mobile No *
Check List :
List the Documents types , which documents will be uploaded please tick it.
Birth Certificate *
Transfer Certificate (if any) **
Progress report (if any) *
Passport (for foreign students) *
Any other medical report *
Note :
*Submit Photocopy* *Submit Original*
I Accept the following rules
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