Recent Passport

size Photograph REGISTRATION SLIP

(To be filled in Block Letters only)
Registration No.________________
PERSONAL DETAILS:
YES NO
Name of the Child : - ________________________________ Sibling Attending
Age : - _____________ D.O.B:- ___________ Gender: - Male/Female
Registration Sought to class: ___________ Single Parent- Yes No Single Girl Child- Yes No
es
Father Name _________________________ Mother Name ___________________________
Occupation _________________________ Occupation ___________________________
Annual Income _______________________ Annual Income __________________________
Contact No. _______________________ Contact No. __________________________
Email Address: ______________________________ Email Address: ___________________________
Correspondence Address _____________________________________________________________________
__________________________________________________________________________________________
Name of the School last Attended (if any) ________________________________________________________
Alumni Detail (if any) ________________________________________________________________________
Medical History (if any) ______________________________________________________________________
____________________________________________________________________Transport Required: Yes/No
Declaration:
I, _______________________ (Parent/Guardian’s Name), of hereby certify to the best of my knowledge that the
above information is true and accurate.
Parent’s Signature _____________ Date _______________
Adm. Incharge Signature _____________
__________________________________________________________________________________________
Registration Slip
Registration No._______________________
Name of the Child ___________________________ Class ____________
Adm. Incharge Signature _______________________
Recent
Passport size
Photograph