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Child's Name
*
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Academic Year
2011 - 2012
2012 - 2013
2013 - 2014
2014 - 2015
Date of Birth
*
Date
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3
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5
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9
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11
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Year
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2010
Place of Birth
*
Sex
*
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Male
Female
Mother Tongue
*
Religion
Nationality
*
Contact Information: Residential
Residential Address
*
City
*
Postal / Zip Code
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Landmark
*
State / Province
*
Telephone
*
Country / Region
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Details of Last School Attended
Name of the school
Curriculum / Board
Grade / Class
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Montessori 1
Montessori 2
Montessori 3
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
City
Percentage of Marks / Grade
Postal / Zip Code
Address
State / Province
Country / Region
Telephone
Reason for change
Grades Repeated (If any)
Select
Montessori 1
Montessori 2
Montessori 3
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Particulars of Father / Mother / Guardian #1
Particulars of Father / Mother / Guardian #2
Relationship with the child
Father
Mother
Guardian
Relationship with the child
Mother
Father
Guardian
Name
*
Name
Date of Birth
*
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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18
19
20
21
22
23
24
25
26
27
28
29
30
31
- Month -
January
February
March
April
May
June
July
August
September
October
November
December
Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Date of Birth
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
- Month -
January
February
March
April
May
June
July
August
September
October
November
December
Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Qualification
*
Qualification
Occupation
*
Occupation
Designation
*
Designation
Name of Company
*
Name of Company
Work Location
*
Work Location
Approx Annual Income
(INR)
*
Approx Annual Income
(INR)
Telephone
*
Telephone
Fax
Fax
Mobile
*
Mobile
Email
*
Email
Emergency Contact Information
Name of Contact Person
*
Address
*
Relationship with the Child
*
Telephone
*
Mobile
*
Requirements
Do you require food service facility for your child?
Yes
No
Do you require transport services facility for your child?
Yes
No
Has your child been identified with any learning disability?
Yes
No
Please specify other requirements, if any:
Details of Child's Sibling(s)
Name #1
Age
Education
Name of the school
Name #2
Age
Education
Name of the school
Name #3
Age
Education
Name of the school
I certify that the above particulars given by me are true and I agree to abide by the rules, regulations and policies of the school. I understand that guarantee admission to the school.
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