CHS Gurukulam

Please Register the name of my son/doughter for admission in your school whose particulars are as under:

Name *

Date Of Birth *

Date Of Birth: (in word)

Age

Nationality *

Blood Group

Category *

Child With Special Needs
Yes No

Please Specify

Max Size:50KB

Residential Address *

Permanent Address *

Adhaar Card No *

Admission To Class *

Admission No

Conveyance
Yes No

1 Sibling Name

School

Class

2 Sibling Name

School

Class

Father Name *

Father's Qualification

Father's Photo

Mother Name *

Mother's Qualification

Mother's Photo

Office Address

Tel. No.

Mobile No *

Email *

Name Of the School

Class Studied From

Duration From (Year)

To (Year)

Date

Upload Signature *

We ,hereby certify that the information given in the registration from is correct to the best of our knowledge and Belief.