APPLICATION FORM FOR NURSERY ADMISSION

    All fields are mandatory
    Bank Deposit Ref/UTR ID :
    Category
    Name of the Child (In block letters):
    Upload recent passport size photo of the child (in JPG/JPEG format)
    Gender
    Date of Birth (In figures) :
    Date of Birth (In words) :
    Age as on 31st March 2025 :
    Year, Months, Days
    Place of Birth:
    Mother Tongue :
    Nationality :
    Residential Address :
    Permanent Address :
    Phone No. :
    Name & Address of present school :
    Single Parent :
    Does your child have any physical/ medical condition which might require special attention? If yes, please specify. :

    PARENTS’ INFORMATION:

     

    Father

    Mother
    Name (In block letters)
    Age
    Academic Qualifications
    School Attended
    College Attended
    Occupation/Profession
    Designation
    Name of the company/ Institution/ workplace
    Nature of Business/ work
    Annual Income
    Office Address
    Mobile No.
    Email ID
    Upload latest Passport Size Photograph (in JPG/JPEG format)

    Details of real brother & sister (Not cousins):

     

    Brother

    Sister
    1. - Name (In block letters)
    Class
    School
    2. - Name (In block letters)
    Class
    School

    UNDERTAKING

    I hereby certify that the information given by me is true. I understand that if any of this information is found to be untrue, this application is liable to be rejected. I shall abide by the decision of the school in all matters. If my child is selected by the school I promise to:
    • a) Abide by the rules & regulations of the school
    • b) Be a sincere partner in the onward education of my child
    • c) Inculcate & foster the values acquired by my child at school
    Signature of Parent/ Guardian (in JPG/JPEG format):
    Name :
    Date:

    Please attach a self attested photocopy of the following:

    1. Birth certificate issued by a competent authority (in JPG/JPEG format) :
    2. Proof of residence. Please attach any one of the following (in JPG/JPEG format) :
    • a. Ration Card/ Smart Card issued in the name of parents (Mother/ Father having name of Child).
    • b. Domicile certificate of child or of his/ her parents.
    • c. Voter ID Card (EPIC) of any other parents
    • d. Electricity bill/ MTNL bill/ Water bill/ Passport in the name of any of the parents or child.
    • e. Adhaar Card/ UID card issued in the name of any of the parents.
    3. Copy of Fee bill (last paid of sibling studying in The Srijan School) (in JPG/JPEG format) :




    Note:
    • Incomplete forms are liable to be rejected without intimation.
    • Information/ documents sought in this application form are for school record & child history only.