Gyan Khand II Indirapuram, Ghaziabad, UP-201014
0120-4961300,4961301

Registration Form - For Nursery (2022-23)

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
 
Proceed for Payment, if Registration Form Already Filled
 

Sibling Details

Sibling (Real Brother/ Sister only) studying in St. Thomas School, Indirapuram   
 
Admission No.
Name
 
Class
 
 
Add more Sibling (if any) studying in St. Thomas School, Indirapuram   
 

Student Information

Name of the Child*
Date of Birth*
 
Class*
Place of Birth
 
Gender*
Nationality
 
Religion*
Mother Tongue
 
Category
Student's Photo*

(File size not more than 500 KB)

Name & Address of Play School attended
Category/Caste Certificate
(In case of SC/ST/OBC)
 
 
Birth Certificate*
Family Photo
(File size not more than 500 KB)
(should be taken in studio & should contain photo of parents & children)
 
Immunisation Certificate *
 

Transportation

Would you like to opt for Transportation
Please Specify Other Mode of Transport
 
 

Native Address/Home Town Address

Address*
 
City*
 
State*
Pin Code*
 

Present Address/Communication Address

Address
 
City
 
State
Pin Code
 
Address Proof *
 

Father's Information

Name
Qualification
 
Occupation
E-mail*
 
Mobile No.*
Phone(ofc.)
 
Designation with Office Name & Address*
Father's Photo*
(File size not more than 500 KB)
 
 

Mother's Information

Name
Qualification
 
Occupation
E-mail
 
Mobile No.
Phone(ofc.)
 
Designation with Office Name & Address*
Mother's Photo*
(File size not more than 500 KB)
 
 

Annual Income

Total Annual Income of the family

Guardian Information

Name
Gender
 
Contact Address
Mobile No.
 
E-mail
 

Health Information

Blood Group
Is Allergic
 
 
Physically Handicapped/Disability
Congenital/Genetic-disease (if any)
 
 
 
 
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