Greenwood High Pre School, J.P.

Nagar
J.P. Nagar, Bangalore, Karnataka, 560078
Phone : -

ACADEMIC SESSION: 2022-2023 APPLICATION ID: GWHJPN/4

REGISTRATION FORM

PARTICULARS OF THE CHILD

Student Name : Aarna Manohar

Date of Birth (in figures) : 02/01/2019
(in words) Second January Two Thousand Nineteen
Age (as on 31st Aug 2022) 3 years 7 months and 29 days
Nationality INDIAN
Blood Group A+ Class Nursery
Religion HINDUISM Gender FEMALE
Boarding Category References Internet
Last School Mother Tongue KANNADA
2nd Language 3rd Language

PARTICULARS OF PARENTS

Father Mother
Name MANOHAR P SHRUNGA K B
Qualification OTHERS BA
Occupation BUSINESS HOME MAKER
Designation DIRECTOR
Company Name Bhoomi Enterprises
Official Address #24 1st main 1st cross M S layout yelachenahalli
yelachenahalli
Pin Code 560078 560078
Home Telephone Number 9632666830 9886517248
Mobile Number 9886517248 919632666830
Email bhoomienterprises09@gmail.com shrungagowda8542@gmail.com
Employee of GreenWood no no
 HOME ADDRESS / ADDRESS FOR CORRESPONDANCE

Residential Address YELACHENAHALLI

Pin Code 560078 Locality JP NAGAR

Phone No 9632666830 Phone No(Outside India) 9886517248

City BANGALORE State KARNATAKA Country INDIA

GENERAL DETAILS

Local Guardian Name SUCHAN K B Mobile No 9008305679

Adm No Name Current Class

CERTIFICATE FROM THE PARENT

I hereby certify that the above information is correct to the best of my knowledge & belief and that nothing has been

concealed therein. I understand the application/ registration/short listing does not guarantee admission to my ward. I accept the process

of admission undertaken by the school and I will abide by the decision taken by the school authorities.

Signature of the Father Signature of the Mother

Name Name

Date