| |
No.
........................
|
| |
|
|
1
|
Name
of the Child .......................................................................................
(In block letters) |
|
|
|
|
2
|
Date
of Birth .............................................................................................. |
|
|
|
|
3
|
Father's/Guardian's
Name .......................................................................... |
|
|
|
|
4
|
Residential
Address .................................................................................... |
|
|
................................................................................... |
|
5
|
Ph
............................................................................................................. |
|
|
| |
Signature
of Parent/Guardian
|
| |
|
| ---- |
---------------------------------------------------------------------------------------------- |
| |
(To
be filled in by the office)
|
| |
|
| |
Date
of Admission....................................................................................... |
| |
|
| |
Class.......................................................................................................... |
| |
|
| |
Time........................................................................................................... |
| |
|
| |
|
| |
(Note:
Please submit Rs.25/- at the time of submission of the registration
form.)
|
