Students Personal Details

Please fill all the fields, and incase of not applicable write NA (or) NIL

Name of the Child
Date of Birth
Gender
Age
Place of Birth
Nationality
Aadhar No.
Blood Group
Current Class
School
Current Board
Admissions Applied for Class
Choice of 2nd Language
Choice of 3rd Language

Co-curricular Activities

Wish to participate in following (Please select one in each)

Club
Sports
Athletics
Others

Doctor Info

Name of the Family Doctor
Cell No
Landline
Address

Transport

If need transport mention any two preferences for the desired bus stop

Bus Stop 1
Bus Stop 2

Family Info

Father's Name
Qualification
Occupation
Email
Cell No.
Office
Mother's Name
Qualification
Occupation
Email
Cell No.
Office

Emergency

In case of emergency if parents cannot be reached, please contact

Guardian Name
Contact No
Related with child
Home Address