AMITY INTERNATIONAL SCHOOL

NOIDA REGISTRATION NO : 1 0 3 3 6 1 6

1033616 Child Name Child D.O.B. Father’s Name : Shrishti Jain : 22 Mar 10 :
Abhishek Jain Anubha Jain

Class

:

Nursery 2013 - 2014

Session :

Mother’s Name :

Paste Coloured Passport Size Photo

Paste Coloured Passport Size Photo

Paste Coloured Passport Size Photo

Child

Father

Mother

Father’s Signature

Mother’s Signature