1. Name of the pupil:
(as Registered in Birth Certificate)

2. Gender:
BoyGirl

3. Date of Birth: (as Registered in Birth Certificate)

4. Place of Birth:

5. Class into which admission is sought:
6. Name of the school last studied:
7. Father’s Name:
8. Qualification:
9. Occupation:
10. Mother’s Name:
11. Qualification:
12. Occupation:
13. Address for communication:
14. Your email:
15. Phone No: