Field marked with * are mandatory

Information about the child

* Name Of the child (In Block Letters)
* Gender
* Date Of Birth (in words)
  (Born before 31st March 2012)
* Admission sought in Class
* Age as on 31st March 2017

Information about parent’s

Father’s Particulars

* Father’s Name (In Block Letters)
  Contact Number
  Email Address

Mother’s Particulars

* Mother’s Name (In Block Letters)
  Contact Number
  Email Address

Guardian’s Particulars

  Guardian’s Name (In Block Letters)
  Contact Number
  Email Address

Residential Address

* House Number
* State
* Address
* Phone Number-1
* Area
  Phone Number-2
* Pincode
  Mobile Number

* Distance From School
* Do You Require School Transport ?
* Real brother / sister studying in this school, If Yes, Give details

* Are any of the parents Alumni of this School ?

Why do you want to admit your child in Bhatnagar International School ?
Max 250 Character Only

Additional Infromation
(Any other additional information that you would like to provide / Any medical condition that require special attention)
Max 250 Character Only



I of hearby declare that the information given above by me is based on facts and authentic records. Admission of my child may be cancelled if any information is found to be false.


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