Kalwa, Airoli

* Indicates Compulsory Fields

Name of Full : Master/Miss
(In block letters)

Age as on 1st June :*

Date of Birth :*

1) In figures
2) In words

Place of birth :*

Religion

Caste

(OBC/SC/ST)

Nationality :

Blood Group

Mother tongue :*

Defect/deformity :*

if any, in the child

Suffering from any contagious :*

disease (Yes or No)

if yes, Name of Disease

Residential Address in full Permanent : *

Uploaded image: *

Birth certificate

Aadhar Card

Tel. No. / Cell No. : *

Own Brother/Sister : *

Studying in this school : *

Last School attended
& Place : *

Standard Passed : *

Reasons for leaving : *

Name & Particulars of Parent/Guardian : *

Father's Name :		Mother's Name :
Edu. Qualification :		Edu. Qualification :
Occupation :		Occupation :
Office Address :		Office Address :
Tel. No. :		Tel. No. :

Monthly Income : *

Father

Mother

The above informations are true & correct to the best of my knowlwdge & belief. I agree and undertake to abide by all rules and regulations of the school as prescribed in the school calendar from time to time and also by such decisions that may be taken by you at any time concerning the discipline, studies etc. of my child/ward during the entire period of his/her study with your school.