Adhar Number:

First Name :

Middle Name :

Last Name :

Date Of Birth :

Place Of Birth :

Admission Sought In : ---Select Class--- Nursery Prep Junior/LKG/KG-1 Prep Senior/UKG/KG-2 1 2 3 4 5 6 7 8 9 10

Present School Name:

Present School Address:

Present School Phone Number:

Particular AcademicStrengths of child:(Please specify subjects interests & activity):

Other Interest Of Child: (Art,Music,Sports etc)

Any Academic difficulties e.g.-dyslexia :

Father Name :

Father's Educational Qualification :

Profession :

Father's Mobile Number :

Father's Email Id :

Mother Name :

Mother's Educational Qualification :

Profession :

Mother's Mobile Number :

Mother's Email Id :

Permanent Address(Home) :

Correspondence Address : Check If Correspondence Address is same as Permanent Address

Contact Number-I :

Contact Number-II :