Name of the Student

Birth Date

Gender

Male Female

Nationality

State

Religion

Caste

Community

Mother tongue

Class last studied

Name of the School last attended

Grade Applying For

EYP I (KG I) EYP II (KG II) PYP I (Grade I) PYP II (Grade II) PYP III (Grade III) PYP IV (Grade IV) PYP V (Grade V) MYP I (Grade VI)

Residential address

Telephone number

Father's Name

Father's Religion

Father's Language

Father's Qualification

Father's Occupation

Father's Office Address

Father's Mobile Number

Father's Email

Mother's Name

Mother's Religion

Mother's Language

Mother's Qualification

Mother's Occupation

Mother's Office Address

Mother's Mobile Number

Mother's Email

Guardian's Name

Relationship to the student

Guardian's Occupation

Guardian's Address

Guardian's Mobile Number

Guardian's Email

Sibling name & Class if any studying in Lady Andal School, Sir Mutha School, Nios (No other relative's name to be filled in)

Any other information you wish to state in brief