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Student Registration Form

Name of the Applicant:

First Name Last Name

MM DD YY
Date of Birth:

Gender: ☐ Male ☐ Female

Grade:

Languages
spoken:

Details of Siblings:

1.
2.

Parent’s Information:

Father’s Name
Father’s Qualification
Father’s Email & Phone No.
Father’s Occupation

Mother’s Name

Mother’s Qualification

Mother’s Email & Phone No.

Mother’s Occupation

Address:
Residential Address:

Payment Details ☐ Cash ☐ Check ☐ Card

Terms and Conditions:

1. I/we certify that the above information provided by me/us is correct.


2. I undertake to submit all the documents in original for verification.
Signature and Date

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