109/B, Block B, Sector 40, Noida
+91-120-427-9318
info@khaitanpreschool.org
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Child's Information
Child's First Name*:
Child's Surname*:
Class*:
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Toddler
Pre-Nursery
Date of Birth*:
Blood Group of the child*:
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Don't Know
A+
B+
O+
A-
B-
O-
AB+
AB-
Sex*:
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Male
Female
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?
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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.