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Nursery
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Student Details
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Name
*
:
Gender
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:
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Blood Group:
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:
Date of Birth
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:
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Primary Contact No
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Address for
correspondence
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Pincode:
Primary email
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Details of Parents
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atleast one
parent or guardian
Father's Name:
Profession:
Address:
Pincode:
Office Ph:
Residence Ph:
Mobile:
E-mail:
Mother's Name:
Profession:
Address:
Pincode:
Office Ph:
Residence Ph:
Mobile:
E-mail:
Guardian's Name:
Profession:
Address:
Pincode:
Office Ph:
Residence Ph:
Mobile:
E-mail:
Details of Previous Schools Attended
Name of School
Class
Year of Completion
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4
Reason for leaving current school
Extra Curricular Activities
Previous participation in games & sports:
Interests in Quiz, Drama,
Debate, Music, Dance, etc:
Hobbies:
Medical History
Medical remarks including allergies if any
Is there an evidence of
any learning disability
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