Indore Public School, Eastern Campus

116/1 SAI KRIPA COLONY, INDORE
Email:infoeast@indorepublicschool.org
Tel:9826828161, 0731-4218844/55

Registration Form

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 
 

Sibling Details

Sibling (Real Brother/ Sister) only studying in Indore Public School, Eastern Campus   
 
Admission No.
Sibling Name
 
Sibling Class
 

Student Details

Child's First Name*
Child's Middle Name
 
Child's Last Name
Gender*
 
Date of Birth*
Admission sought in class*
 
Category
Blood Group
 
Nationality
Email*
 
Mobile No.*
Student's Photo (Max-2 MB)*
 
Place of Birth
Religion
 
Aadhar Card No. of the Child
 
 

Permanent Address

Address*
City*
 
 
State*
Pin Code*
 

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 
 

Father's Details

Father's Name *
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile No.*
 
Father's Photo (Max-2 MB)
 
 

Mother's Details

Mother's Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
Mother's Photo (Max-2 MB)*
 
 
 
 
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