Nursery Admission Form - Anjuman-I-Islam English School Kurla

Anjuman-I-Islam Allana English Nursery Kurla Admission Form

Please read before you proceed

Sir/Madam,
I am desirous of admitting my son/daugther/ward*, whose particulars are given here in below, to the nursery section of your school.
** Strictly in accordance with BIRTH CERTIFICATE/ SCHOOL LEAVING CERTIFICATE
* Required fields

Candidate Details

First Name**

Last Name**

Father's Name*

Mother's Name*

Date of Birth**

Blood Group*

Residential Address*

Approx Distance from school*

Sex*

Male

Female

Candidate Photo*

Choose file

Email*

Contact Number*

Mother Tongue*

History of illness, major operation, physical implement if any*

Caste: (Mention SC/ST/OBC if belonging to the weaker section of society or Others)*

Present School*

Present Class*

Please state clearly the disability

1. BCC at birth*

Yes

No

2. Polio at birth*

Yes

No

3. Polio & SPT 6 WKS*

Yes

No

4. Polio & DPT 10 WKS*

Yes

No

5. Meaning 2 Yrs*

Yes

No

Mother's Details

Mother's Qualification

Mother's Occupation

Mother's Designation

Mother's Contact No

Mother's Photo

Choose file

Name of Organization

Contact No of Organization

Address of Organization

Special Interest

Father's Details

Father's Qualification

Father's Occupation

Father's Designation

Father's Contact No

Father's Photo

Choose file

Name of Organization

Contact No of Organization

Address of Organization

Special Interest

Other Details

Whether parents is an ex-student of Anjuman Islam School*

Full particular of the guardian either than parent if any

Details of Other Child

Name

School

Age

Class

Details of Other Child

Name

School

Age

Class

Admission will be confirm only after the payment.*

We solemely confirm that the particular given above are correct and true to the best of our knowlegde.*

Date*

Signature of Mother

Signature of Father