NAZARETH SCHOOL

(Affiliated to Central Board of Secondary Education - New Delhi)

CBSE Affiliation No:830134

BALMATTA, MANGALORE-575002

TEL: 0824-2950268, 9902401537

E-mail: [email protected],

General Instructions:

1) To be filled and signed only by Parents. Name and DOB entered in this form will be treated as final and no changes will be accepted in the future.

Student

Basic Details

Full Name *

Gender *

Date Of Birth *

Child's Aadhar Card Number * (Note: If you do not have an Aadhar card number, enter a 12-digit temporary number. Later, submit the actual Aadhar card number to the office.)

Place of Birth

Village/Town *

Taluk *

District *

State *

Language, Nationality & Religion

Mother Tongue *

Nationality *

Religion *

Other *

Communication Details

Permanent Address *

Present Address *

Permanent Phone *

Present Phone *

Other Details

Select Admission Grade *

Parent

Parents Details

Father's Name *

Educational level of father *

Father's Occupation *

Living/Not Living *

Living Not Living

Mother's Name *

Educational level of mother *

Mother's Occupation *

Living/Not Living *

Living Not Living

Annual Income

Father's Annual Income (In Rupees) *

Mother's Annual Income (In Rupees)

Staying Details

Pupil Staying with *

Parents Guardians

Guardian Details

Guardian Name *

Guardian Address *

Health Details

Health History If there is anything concerning the health of your child, which the school should know, please attach an additional sheet with this form (Include such things as eyesight, allergies and any specific disability)

Upload any medical records (png,jpeg,jpg)

Finish

Agree and continue

I declared that the above named student who is my son/daughter and I agree to pay his/her school fee and to abide by the rules of the school Note: You cannot change the student details after submitting the application form.

Kindergarten Application for Admission