APPLICATION FORM FOR KINDERLAND ADMISSION 2017-2018

Standard to which Admission is sought

Branch

Academic Year

As it should appear in the school leaving certificate (copy of the birth certificate to be enclosed)

Name of the Child

The name of the Child should be as per the birth certificate only

Date of Birth

Contact Number

Identification Marks

Place of Birth

Nationality

Children with Foreign nationality should submit their passport & visa copy

Religion

Caste

SC/ ST/MBC/OBC

Father's Name

As per the Birth Certificate only

Educational Qualifications

Occupation

Annual Income

Office Address

Telephone No

Mother's Name

As per the Birth Certificate only

Occupation

Office Address

Educational Qualifications

Annual Income

Residential Address

Telephone No

Talent (Arts)

Talent (Sports)

Languages spoken at home

Previous Schools, If any

Family Doctor/Hospital

Telephone No

Personal Information

FAMILY

Is your family extended or nuclear?

How many brothers and sisters?

Details

HEALTH

Health Details

Health check Details

Has your child had A dental check up

Measles

Jaundice

Chicken Pox

Any other illness

ACTIVITIES

Activities Details

Likes drawing/Painting

Singing

Games

Reading

Cycling/Swimming

FAVOURITES

Person outside family

Game

Food

Drink

Toy

Colour

Hobby/Activity

Pastime

How would you describe your child?

Is there anything about your child that bothers you?

Have you observed any special inclination/talent in child?

How much time do you spend with him/her?

What would you like your child to be?

What are the expectations from your child school?

Signature of the Parent/Guardian

Attach birth certificate