Name of the Student (BLOCK LETTERS):
Previous school attended (If any with address):
MEDICAL INFORMATION
Medical Information: Does the Child has any special needs? If yes, give details:
UNDERTAKING
I
(father/mother/guardian) of
hereby declare that the information given above by me is based on facts and authentic records.
Registration/Admission of my child may be cancelled if any information is found to be false.
I shall produce the requisite original documents at the time of admission.
DOCUMENTS REQUIRED
5. Passport size Photographs