Registration Form

Student And Parent Details
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All mandatory fields are marked with ^*

Student Details:

Step 1 / 3

Academic Year *

Class *

Class In Words *

Date of Birth *

Age in Words(as on 31.03.) *

Date of Birth (In words)

First Name *

Middle Name

Last Name *

Gender *

Primary/Emergency Contact *

Email Id *

Blood Group

Nationality

Birth Place *

Mother Tongue

Upload Student Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

Proficiency/ Achievements Record, if any (Applicable only for Classes III and above):

Sports

Performing Arts (Music, Dance, Drama, Craft etc)

Responsibility held in school or community

Other

Other Academic & Misc. Information (Kindly fill the applicable fields only):

Subjects studied (for aspirants of classes III and above)

Medium of instruction

Exceptional academic achievement, if any

Third Language studied in Previous Class

Second Language studied in Class IX

Third Language studied in Class VIII

Has the ward undergone any special needs assessment?*

Please upload the reports received : * File size should not be more than 1 MB and should be in png, jpg, jpeg.

Does the ward have any developmental difficulties or special learning needs? *

If 'Yes', please provide details: *

Has the ward ever received any specialised instruction e.g. speech therapy, remedial reading support?*

If 'Yes', please provide details: *

Father Details:

First Name *

Middle Name

Last Name

Mobile No. *

Office Phone No. *

Email Id *

Qualification *

Occupation *

Designation*

Organization Name *

Organization Address *

Upload Father Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

School(s) Attended by Father

School *

City*

Year *

School

City

Year

School

City

Year

College(s) / Institute(s) Attended by Father ( Kindly enter in the order of the highest qualification to the lowest qualification )

College *

City*

Year *

College

City

Year

College

City

Year

Mother Details:

First Name *

Middle Name

Last Name

Mobile No.*

Office Phone No.*

Email Id *

Qualification *

Occupation *

Designation*

Organization Name *

Organization Address *

Upload Mother Photo * File size should not be more than 1 MB and should be in png, jpg, jpeg.

School(s) Attended by Mother

School *

City*

Year *

School

City

Year

School

City

Year

College(s) / Institute(s) Attended by Mother ( Kindly enter in the order of the highest qualification to the lowest qualification )

College *

City*

Year *

College

City

Year

College

City

Year

Reference Details (Kindly provide Name, Address and Mobile Number of two known residents of Indore who know you well):

First Reference Name *

First Reference Address *

First Reference Email *

First Reference Mobile *

Second Reference Name *

Second Reference Address *

Second Reference Email *

Second Reference Mobile *

Details of Sibling(s) (Real Brother and Sister):

First Sibling's Name

First Sibling's Gender

First Sibling's School/College

First Sibling's Class/Year

First Sibling's City

Second Sibling's Name

Second Sibling's Gender

Second Sibling's School/College

Second Sibling's Class/Year

Second Sibling's City

Third Sibling's Name

Third Sibling's Gender

Third Sibling's School/College

Third Sibling's Class/Year

Third Sibling's City

Other Details (Tick if applicable)

Staff Ward

Differently Abled / with Special Needs

Class Repeated

Local Address:

Local Address *

Country*

State*

City*

Pin Code*

Permanent Address:

Is Local & Permanent Address same?

Permanent Address *

Country*

State*

City*

Pin Code*

Documents Details:

Step 2 / 3

^* All File size should not be more than 1 MB and should be in png, jpg, jpeg, pdf.

Child Birth Certificate *

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Kindly attach previous two years report cards and mid term assessment copy of current year ( Class V and above):

Report Card 1 *

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Report Card 2 *

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Report Card 3 *

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Declaration by the Parent / Guardian:

I understand that incomplete application form will not be considered.

I affirm to abide by the rules & regulations laid down or amended by the authorities of the School.

I hereby confirm that the details in this form are true and correct to the best of my knowledge.

Any wrong information may lead to non admission or cancellation of admission*

Submission of registration application form does not imply confirmed admission*

I confirm having understood and express my acceptance that Submission of registration form does not imply confirmed admission. Selections for Admissions will be done according to the norms followed by the School Management. The school management is not liable to inform the reason for non selection of any applicant parent. Applicant parents are not called to meet the school authorities in person, in response to their application, as a routine. No screening of the children or the applicant parents is conducted for pre-primary level.

I agree all the above points