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APPLICATION FOR ONLINE REGISTRATION FOR ACADEMIC YEAR 2013 - 14
Fields marked with an asterisk
*
are mandatory.
A
Student Related Information
1.
Class in which admission required*:
[--Select Class--]
Nursery
KG
Class-I
Class-II
Class-III
Class-IV
Class-V
Class-VI
Class-VII
Class-VIII
2.
Name of the Child:
First*
Middle
Last*
3.
Gender*:
Male
Female
4.
Date of Birth*:
Year
Month
Day
YYYY
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
MM
January
February
March
April
May
June
July
August
September
October
November
December
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
5.
Age as on 1st April 2013:
Year
Month
6.
Place of Birth*:
7.
Residential Address*:
City*:
State*:
Postal Pin:
8.
School Bus Required:
Yes
No
9.
After School Facility
Yes
No
10.
Meals Required
Yes
No
B
Parent Information
1.
Name*:
Mother
Father
Local Guardian
2.
Occupation:
3.
Address*:
4.
Contact Numbers*:
Mobile:
Landline:
5.
Email Id:
(Please note that registration is not confirmation for admission)
