Admission Form

School Code *

Date of admission in the school *

Student's Full Name (as in the Aadhar Card) *

Student's Date of Birth *

Student’s Aadhar Card Number *Yes, it is availableNo, it is not yet ready. I will share it with the school at the earliest.

Mother's Aadhar Card Number *

Father's Aadhar Card Number *

Student's Gender *GirlBoyOther

Student's Nationality *IndianOther

Caste (Please also provide certificate where relevant) *GeneralSchedule Caste (SC)Schedule Tribe (ST)Other Backward Caste (OBC)Other

Religion *HinduSikhChristianMuslimJainBuddhistJewAgnosticOther

Child's mother tongue (Language spoken in the home) *

Student’s Local Home Address *

Home Phone Number (Whatsapp updates & communication) *

Mother's Name *

Mother’s Phone Number *

Father's/Guardian's Name *

Father’s Phone Number *

Mother’s Educational Qualification

Father’s Educational Qualification *

Mother’s Occupation *

Father’s Occupation *

Mother’s E-mail

Father’s E-mail

Who other than the child’s parents has the permission to pick up the child from the school? Children will not be released without the written authorization from the parent or guardian. Please state the name and relationship with the student.

Please list the other children in the household. First name (last name only if different).

Does your child have a formal diagnosis? Are there any on going medications or any long term illnesses. *

Does your child need care under CWSN (Children with Special needs). Please attach certificate. *YesNo

Please state the type of disability under CWSN.

Describe any difficulties or serious illness at birth, if any.

Describe your child’s general health (i.e. recurring colds, ear infections, stomach-aches, etc.) *

Are there presently any serious medical problems? Yes/No If yes explain with medication being given. *

Describe your child’s current dietary habits including (Fluids/Beverages/Solids) *

Does your child have any allergies to food, medication, or contact allergies? If yes, please list. *

Are parents under BPL (Below poverty Line) ? *Yes (please submit the relevant document)No

Have you submitted the following documents to the school office? *Student's passport size 5 photosBirth certificate photocopyStudent's Aadhar card photocopyParent's Aadhar card photocopy(Father and Mother)Family PhotoCompleted Admission FormOther relevant documents

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