Child's Information


Child's First Name*:
Child's Surname*:
Class*:
Date of Birth*:
Blood Group of the child*:
Sex*:

Residential Address*:
City*:
State*:
Pincode:

Permanent Address*:
City*:
State*:
Pincode:

Name of the last attended Play school by the child :
How did you hear about us?

Family Information

Details of Father Details of Mother
First Name*   First Name*
Last Name   Last Name
Educational Qualification   Educational Qualification
Name of Organisation   Name of Organisation
Designation   Designation
Address   Address
Work Phone   Work Phone
Mobile Number*   Mobile Number*
Annual Income   Annual Income
Email Address   Email Address

DECLARATION BY THE PARENTS
I Hereby declare that the above information furnished by me is correct to the best of my knowledge,If any information or document submitted by me is found to be incorrect, I will be responsible for the same. I shall abide by the rules of the School.