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APPLICATION FOR ONLINE REGISTRATION FOR ACADEMIC YEAR 2014 - 15

 Fields marked with an asterisk * are mandatory.
A Student Related Information
1. Class in which admission required*:  
 
2. Name of the Child:
First* Middle Last*
   
3. Gender*:
4. Date of Birth*:
Year Month Day
 
5. Age as on 1st April 2014:
Year Month
6. Place of Birth*:  
 
7. Residential Address*:  
  City*:    
  State*:    
  Postal Pin:    
8. School Bus Required:
 
9. After School Facility
 
10. Meals Required
 
         
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)