Lotus Valley

Please fill up all fields of information (Capital Letters only)

Admission sought in Class

Particulars of the child/ Ward

Name
Gender

malefemale

Date of Birth
Residential Address

Particulars of the Father

Name
Educational Qualifications
Occupation
Name of the Organization
Contact No. 1.
Contact No. 2.
E-mail

Particulars of the Mother

Name
Educational Qualifications
Occupation
Name of the Organization
Contact No. 1.
Contact No. 2.
E-mail

Other Details

Transport facility
Landmark from where transport pick up & drop required
Previous Schooling
Specify Previous School Name & Address (if applicable)
Is your child toilet-trained?

How many siblings does the child have?

Brothers (mention name & age)
(1)
(2)
Sisters (mention name & age)

(1)
(2)

Declaration by Parent/Guardian

I declare that the information given is correct and complete.
I have not withheld any information.