* Please enter NA if not applicable

Full Name

Sex
Choice1Choice2

* Choice1 is Male and Choice2 is Female

Blood Group

Admission No

Grade

Division

Roll No

House

Date of Birth

Nationality

Religion

Caste

Fathers/Guardians Name

Occupation

Email

Father's Office Address

Office Tel

Mob

Mothers Name

Mothers Occupation

Mothers Email

Mothers Office Address

Mothers Office Tel

Mothers Mobile Number

Residence Address and Pincode

Tel

Siblings (studying in this school)

Child 1

Class

Division

Child 2

Class

Division

Conveyance

School Bus: Bus No

Boarding Point

Private Vehicle

Drivers Mob No

Vehicle No

We have gone through the rules and regulations of the school and we agree to abide by them and all the
decisions of the school management regarding my son/daughter

Upload the photo of the child

Father's Signature

Mother's Signature