Admission Form

Permanent Address

House Number or Building Number

Street

City

State

Pin-Code

Telephone

Mobile

E-Mail

Communication Address

House Number or Building Number

Street

City

State

Pin-Code

Telephone

Mobile

E-Mail

Please indicate who is to be called in case of an emergency
Name

Contact

Relationship

Name of School

Address of School

The School is affiliated to CBSEICSEAny other board
If any other board then specify

Previous Class

Percentage/Grade/Result

Passed or Failed

Medium of Instruction

Proficiency in Sport/Music/Art/Others

Reason for leaving the school

Details of Parents
Areas in which you could contribute to enrich school life in terms of time, skill etc.
CultureMedicalProfessionalSportsAcademicEnvironmentArtCommunityDanceDramaOutbound ActivityOthers

If other then specify

Father Name

Father's Qualification

Father's Profession

Name of Organization & Designation

Office Address

Business or Self Employed (if applicable)

Phone Number (Residence)

Phone Number (Office)

Mobile Number

Emergency Contact Number

E-Mail

Mother Name

Mother's Qualification

Mother's Profession

Name of Organization & Designation

Office Address

Business or Self Employed (if applicable)

Phone Number (Residence)

Phone Number (Office)

Mobile Number

Emergency Contact Number

E-Mail

Guardian Name

Qualification

Name of Organization & Designation

Business or Self Employed (if applicable)

Phone Number

Mobile Number

E-Mail

Sibling Name

Age

Name of School

Grade

Sibling Name

Age

Name of School

Grade

Do you need school Transport Facility YesNo