Play school | Pre school | Day care

#82,EPIP Area, Whitefield, Bangalore-560 066.E-mail : info@vkids.in visit us at www.vkids.in

ADMISSION FORM

Form. NoAdmission No

Affix photo of Father Affix photo of Mother Affix photo of Child

We,

to have our son/daughter/ward whose particulars are given below admitted as a day scholar in your School:and, desire

INFORMATION OF THE CHILD

Father/Guardian:

Name: Age:Institution:Office Address:

Nationality:Educational Qualification:

RESIDENTIAL ADDRESS

Tel.:Fax.:

CORRESPONDENCE ADDRESS

Tel.:Fax.:

Last Name

Class for which admission is sought

Gender Date of Birth Date of Birth in words

Religion Nationality SC/ST

First Name

Male Female

Yes No

DD MM YY

Emergency Contact Numbers Mobile Nos.

FAMILY INFORMATION

Languages known

Occupation:Designation:

Tel:

Distance from school (in kms): Preferred Phone Number for School SMS:

Name of the person to be contacted Relationship

Annual Income:

SCHOOL

SIGNATURES

Previous School (if any) attended:(i)

School tranfer certificate to be submitted in original

Detail of any Sibling:(ii)

(iii) Incase of Staff ward:

Name of the Child:

Name of the Parent:

Cultural

Professional

Signature of Mother / Guardian Signature of Father / Guardian

Sports

Camps

Academics

Medical Media

I hereby certify that the information given in the admission form is complete and accurate. I understand andagree this misrepresentation or omission of facts will justify the denial of admission, the cancellation ofadmission or expulsion. I have read and do hereby consent to the term and conditions enclosed with the registration form.

Please tick:Areas in which you could contribute to enrich school life in terms of time, skills etc.

Name of the School:

Outdoor activities

Tel:Designation:Annual Income:

Mother/Guardian:

Name: Age:Institution:Office Address:

Nationality:Educational Qualification:Occupation:

Single Parent:

Father Mother

Permanent Address:

if child is sponsored(Name of sponsoring agency)

Tick one, only if applicable

The child should be 2yrs 10 months of age as on 1st June 2010 for Play School.The child should be 3yrs 10 months of age as on 1st June 2010 for Pre-School.The child should be 4yrs 10 months of age as on 1st June 2010 for Pre-Primary.

Medical form

For Office use only

Head of the Institution

Date

Birth / Transfer Certificate

Transportation form

Admission fees

Admission co-ordinator

Date