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.