Class Nursery LKG UKG IST 2ND 3RD 4TH 5TH

Name of the Student:

Parentage (Father):

Parentage (Mother):

Occupation ( Father):

Occupation ( Mother):

Monthly Income of Father:

Monthly Income of Mother:

Child’s Date of Birth:

Permanent Address:

Address for Correspondence, if any:

Contact No’s : Tel/Cell No.:

Utilizing bus service: YES NO

Name of any relative residing near the School Premises with relation, full address and contact number:

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