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Surname
First Name
Father's Name
Nick Name
Gender
Male
Male
Female
Female
Date of Birth
Pick your class
Play Group
Play Group
Nursery
Nursery
Place of Birth
Nationality
Mother Tongue
Address
Age as on
Blood Group
Previous Class Attended
Name of the school
Board
Visible personal mark of identification (1)
Visible personal mark of identification (2)
Does the child have any health-related problems
Yes
Yes
No
No
Details of the Siblings
Date
Father's Photo
Father's Name
Educational Qualification
Occupation and Designation
Contact Number
E-mail ID
Birthday
Wedding Day
Mother's Photo
Educational Qualification
Occupation and Designation
Contact Number
E-mail ID
Birthday
Wedding Day
I certify that the above particulars given by me are true and I agree to abide by the rules, regulations, and policies of the school.
Whom to contact in an emergency
Active interested parent for child activities
Name of Parent
Signature
Date
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