NURSERY REGISTRATION FORM FOR SESSION 23-24

REGISTRATION FORM

Name of the Child*

First Name

Last Name

Class*

Class

Date of Birth*

Child Date of Birth

Religion*

Gender*

Is the Child suffering from any illness or has any allergy ?*

If Yes, Please give complete details

Residential Address*

Pincode

Father Name*

Prefix

First Name

Last Name

Father Occupation*

Father’s Mobile Number*

Father Email address*

Mother Name*

Prefix

First Name

Last Name

Mother’s Mobile Number*

Mother Occupation*

Name

Class

Admission Number

Name of the person with Mobile Number who is submitting this Form and his relation with the Child *

Are you human?*

This field should be left blank