Name of Child Master/Miss
Date of Birth (dd/mm/yy)
In words
Admission for Class
Mother's Name
Father's Name
Occupation  Mother Tongue
Full Address (Residence)
Phone Numbers
Full Address (Office)
Phone Numbers
Name and Address of School last attended
Affiliated to which board
Medium of Instruction
Class last Attended

Real Brother/Sister                 Class                      Sex                  School  
Local guardian to be contacted in case of emergency
Phone Number
School Bus required Yes/No; Place from where

Achievements if any
Any other Medical Information



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