REGISTRATION FORMNote: * Fields are mandatory.Class*STUDENT DETAILS Name of the Child*First NameLast NameDate of Birth*Child Date of BirthReligion*Please selectHinduMuslimSikhChristianGender*Please selectMaleFemaleIs the Child suffering from any illness or has any allergy ?Please selectYesNoIf Yes, Please give complete details Residential Address*Pincode*Name of the Previous School Attended *Previous School AddressFATHER DETAILS Father Name*Please selectMrDrPrefixFirst NameLast NameFather Occupation*Father’s Mobile Number*Father Email address*MOTHER DETAILS Mother Name*Please selectMrsMsDrPrefixFirst NameLast NameMother’s Mobile Number*Mother Occupation*Details of Sibling(s), if studying in Panchsheel Public School NameNameClassClassAdmission NumberAdmission NumberName of the person with Mobile Number who is submitting this Form and his relation with the Child *INSTRUCTIONS : Incomplete and incorrect Forms will not be accepted. Mere submission of Form does not guarantee Admission. Requisite supporting documents will be requisitioned by the School Administration, as and when required. Are you human?*SendThis field should be left blank