| Personal Data |
| Fields marked with * are compulsory. Image size should not be greater than 1MB. |
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| General Information |
| We are considering enrolment of our child in Grade/Class *
with effect from
* Session. |
| Personal Data of Student |
| Surname * |
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| First Name * |
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| Middle Name |
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| Nick Name |
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| Date of Birth * |
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Age as on 1st April 2012
Year
Months
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| Entry age for class IV is 8-9 years. Add one year to every class thereafter. |
| Category of Student * |
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Mother Tongue |
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| House No. |
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Street Name |
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| Sector/Block Name |
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City * |
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| State* |
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Country * |
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| Pin Code * |
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Nationality |
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| Home Telephone |
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Code : 1: 2: |
| Mobile |
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1:
2:
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| Fax # |
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Code : |
Email |
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| Mailing Address |
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Click if it is same as Permanent Address. |
| House No. |
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Street Name |
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| Sector/Block Name |
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City |
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| State |
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Pin Code |
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| Country |
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| Educational Background |
| Name of the last School |
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Street Name |
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| City |
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State |
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| Country |
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Pincode |
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| Year of Joining |
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Year of Leaving |
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| Reason for Leaving |
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Characters Left : 150
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| Has the child ever been expelled/rusticated/not promoted to the next class by any school |
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| If Yes, Please give details |
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Characters Left : 150
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| Health Information |
| Blood Group |
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Allergy/Chronic ailment (if any) |
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Physical Disability
(if any) |
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Any other health problem |
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| Parents/Legal Guardians Information |
| Father/Legal Guardian Name * |
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Date of Birth |
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| Nationality |
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Education |
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| Mother's Name |
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Date of Birth |
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| Nationality |
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Education |
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| Legal Guardian's relationship with child |
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Are parent living together? If not, state position |
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| Father/Legal Guardian Profession/Occupation |
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Annual Income |
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| House No. |
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Street Name |
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| Sector/Block Name |
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City |
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| State |
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Country |
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| Pincode |
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| Telephone |
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Mobile * |
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| Fax |
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Email * |
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| Mother's Profession/Occupation |
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Annual Income |
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| Mother Address |
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Click if it is same as Father/Legal Guardian Address. |
| House No. |
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Street Name |
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| Sector/Block Name |
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City |
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| State |
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Country |
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| Pincode |
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| Telephone |
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Mobile |
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| Fax |
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Email |
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| Sibling Information (Real Brother/Sister) |
| 1. Name |
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Age : |
Gender |
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| 2. Name |
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Age : |
Gender |
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| 3. Name |
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Age : |
Gender |
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| Relationship to Past or Present Student of Unison World School |
| 1. Name |
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Admission No |
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| Relationship |
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Class |
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| Year of Joining |
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Year of Leaving |
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| 2. Name |
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Admission No |
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| Relationship |
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Class |
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| Year of Joining |
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Year of Leaving |
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| 3. Name |
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Admission No |
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| Relationship |
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Class |
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| Year of Joining |
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Year of Leaving |
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| Security Code * |
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