Student Admission FormPlease fill up all the fields to help us understand your child better Child’s Information Child's Name (include middle name): Sex: MaleFemale Contact Address Date of birth Citizenship Weight Height Place of Birth: Primary language of Child Primary language of Home: Identifying Marks: Please tell us about your Child: Medical Information Diagnosis by(Name of Doctor and Clinic/Hospital): Primary Diagnosis: Secondary Diagnosis: Date of Diagnosis: Medical Conditions: NextMotherFatherMother & Father Parent’s Information - Mother Name: Maiden Name: Date of Birth Place of Birth Address Email Mobile Home Phone: Highest Level of Education Completed: Occupation: Name of Organisation: Designation: Current Work Address: Work Phone: Work Email: No. of Years with Present Organisation: Previous Employer: Monthly Income:INR 50,000 - 1,00,000INR 1,00,000 - 3,00,000INR 3,00,000 - 5,00,000ABOVE INR 5,00,000 Parent’s Information - Father Name: Maiden Name: Date of Birth Place of Birth Address Email Mobile Home Phone: Highest Level of Education Completed: Occupation: Name of Organisation: Designation: Current Work Address: Work Phone: Work Email: No. of Years with Present Organisation: Previous Employer: Monthly Income:INR 50,000 - 1,00,000INR 1,00,000 - 3,00,000INR 3,00,000 - 5,00,000ABOVE INR 5,00,000 Back
