ADMISSION FORM

Class :
Nursary
Admission No:
201
STUDENT DETAILS
Name :
Rajeev Mohan Patil
Date Of Birth:
2015-02-22
Age
5
Address:
M-12 12 Street
City
Solapur
State:
Maharashtra
Pin-Code:
413003
School Previously Attended:
Modern
Blood Group:
A+
Birth Place:
Solapur
Caste:
Brhaman
Religion:
Hindu
E-mail Address:
priyanka@gmail.com
FATHER'S DETAILS
Name:
Ram
Occupation:
Job
Education:
12th
What's App Mobile No:
8765432387
MOTHER'S DETAILS
Name:
Sona
Occupation:
Hous
Education:
10th
What's App Mobile No:
8765432387
STUDENT BROTHER'S/SISTER'S DETAILS
Brother/Sister Name:
Pooja
Age
5year
OTHER DETAILS
School Transport:
Yes
Addmission Date:
30-4-14



Signature Of Father/Mother/Guardian


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Reffered By :


Admitted/Rejected
Principal