CBSE Affiliation Number 430271

Online Registration

Class to Which Admission is Being Sought
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Father

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Mother

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Child

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Information About the Child (Write in Capital Letters)

Tel.:
Fax.:
E-mail:
Tel.:
Fax.:
E-mail:

Family Background

Father / Guardian

Name
Occupation:
Educational Qualification:
Organisation Working for:
Designation
Annual Income
No. of hours of interaction with the child per week:
Age:
Nationality:
Tel.:
Fax:
E-mail:
if the parents are divorced, living separately or widowed, with whom is the child living:

Brothers / Sisters:

Name Age Institution in which Studying
Academic Background (if any)
Last School Attended:
No. of years attended:
Any outstanding achievements
(Enclose certified latest Progress Report)

I hereby certify that the information given in the Registration Form is complete and accurate. I understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of admission, or expulsion. I have read and do hereby consent to the Terms and Conditions being enclosed with the form.

Date:-
Date:-