Full Name of Student:

Age of Student:

Date of Birth:

Gender:
MaleFemaleOther

Select Medium:
English MediumGujarati Medium

Select Class:
PrePrimary NurseryPrePrimary K1 & K2Std. 01 to 05Std. 06 to 1011 and 12 Science

Parent/Guardian Name:

Phone Number:

Email (if available):

Residential Address:

Previous School Name (if any):

Any Notes: