Admission – Mansukhbhai Kothari National School

Please fill the below admission form.

Student’s Full Name (Child’s Name, Middle & Surname)*

Separator

Date of birth*

Gender*

Student Aadhaar Number*

Nationality

Religion

Caste

Subcaste

Place of birth

Mother Tongue

Applying for Class*

Previous school Attended (if applicable)*

Previous Class Attended*

Has your child taken a gap year (i.e not attended school / online classes for 6 months or more)*

If Yes, please state the reason for taking a gap (e.g Pandemic, Financial loss etc.). If not valid, please write NA

Previous Educational Board of the Child*

Any Special Needs (e.g Educational needs / medical needs)

If Yes, Please Specify, (E.g. Extra assistance, any medication to be given, any disability) If no, please write NA

Residential Address

Area

Landmark

City/Town/Village

State/Province

Country

Pincode

Residence Contact Number

The above Address is my / our (Permit / Current Address) (same for bus stop for pick up & drop)

Daycare Facility Required (with us YES & NO)

Parent /s is or are (Normal family / Single Parent)

Parent /s has or have (E.g. 1 child, etc )

Father's Information

Father's Full Name

Father's Contact Number*

Father's Email*

Father's Educational Qualification*

Father’s Designation and Company Name*

Father’s Office Address

Fathers Annual Income*

Mother's Information

Mother's Full Name

Mother’s Contact Number (Personal)

Mother’s Contact Number ( Office Number)

Mother's Educational Qualification*

Mother's Designation & Company Name

Mother's Office Address

Mother's Annual Income

Primary Email Id*

Sibling Details 1

Name

School Studying in

Class in which studying

Sibling 2

Name

Age

School Studying in

Class in which studying