SRI VENKATESWARA NURSERY & PRIMARY SCHOOL

#20, Gopalsamy Nagar, Ambattur Indl.Estate, Chennai -58

www.srivenkateswaragroupofschools.in Email: srivenkateswaranps@gmail.com

STUDENT DETAILS

Name of the Pupil
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Gender
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Date of Birth
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Nationality
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Religion
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Mother Tongue
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Caste
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School & Class last attended
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Class in which Admission required
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PARENTS DETAILS

Father’s Name
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Father’s Educational Qualification
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Father’s Occupation / Designation
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Mother’s Name
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Mother’s Educational Qualification
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Field is required!
Mother’s Occupation / Designation
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Field is required!

GUARDIAN'S DETAILS (If Parents are not available locally)

Guardian’s Name
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Guardian’s Educational Qualification
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Guardian’s Occupation / Designation
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Residential Address
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Phone Number
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Mobile No
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Whether transport facility is required
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Distance between school and residence (km)
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Specify the Boarding point
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Declaration:

I, hereby, declare that the above information is correct and true to the best of my knowledge and belief. I hereby also agree to abide by the existing rules and regulations in force and those that may be framed from time to time, including the rules related to fee.