Sadbhavna Shaishnik Sankul - Halvad
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STUDENT’S INFORMATION
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Surname
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First Name
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Middle Name
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Date of Birth
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Age
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Place of Birth
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Present School
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Standard
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School Affiliation
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GSEB
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Nationality
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Cast
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(SC/ST/OBC including Baxi Panch-declare With authentic document ) if applicable.
CONTACT INFORMATION
Residential Address :
Country
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City
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Pin Code
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Correspondence Address :
(If Different from the Residential address)
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City
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Pin Code
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DECLARATION
We declare that :
1) The information furnished in the application form is true and correct to our knowledge.
2) We shall abide by the school’s rules & regulations now or introduced in future.
3) We undertake to meet all financial responsibilities in time regarding the study of our child in the school.
4) We have not hidden or wrongly interpreted any information in this Admission Form.
Place
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Father
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Mother
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Date
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Guardian
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FAMILY INFORMATION
FATHER :
Name
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Age
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Education
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Occupation
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Business
Service
Specify (Product)
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Organization
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Designation
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Business Address :
STD Code
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Phone (R)
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(O)
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Mobile
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Fax
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E-Mail
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Annual Income
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MOTHER :
Name
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Age
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Education
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Occupation
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House Wife
Business
Service
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Organization
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Designation
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Business Address :
STD Code
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Phone (R)
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(O)
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Mobile
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Fax
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E-Mail
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Annual Income
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LOCAL GUARDIAN :
Name :
Address :
Pin Code
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Phone
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Mobile
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STUDENT'S OTHER INFORMATION
General Health :
Excellent
Good
Fair
Poor
Areas of Interest : (For e.g. : Music, Dance, Cricket, Yoga, Writting, etc.)
How would you rate your child? :
An Active
Hyperactive
Lethargic
LANGUAGE ABILITIES
Languages the student can speak
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Languages the student can read
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Languages the student can write
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Languages spoken at home
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Languages Known by Parents
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