Student admission application form

To be completed by the parent
Please Use Capital Letters

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Students Information

*Grade Selection

Pre-Primary     Class–1     Class–2     Class–3     Class–4     Class–5     Class–6     Class–7     Class–8     Class–9     Class–10    

*First Name

*Last Name

*Date of birth

*Gender

Male     Female    

*Religion

Islam     Hindu    

*Student Photo

Resident and family Information

1. Address

0/200

Province, City, Post code

2. Father:

*(a) Name

(b) E-Mail

*(c) Educational qualification

(d) Profession

(e) Phone no.

3. Mother:

*(a) Name

(b) E-mail:

*(c) Educational Qualifications:

(d) Profession

(e) Phone

4. Emergency contact/Guarantor:

(i) Name

(ii) Contact number

Other information

(a) Student present qualification

(b) Assessor's comment

Payment information

*(a) Payment Status

Paid     Unpaid    

*(b) Receipt Image

(c) Payment notes

Fields with (*) are compulsory.