Madhavnagar, Nizamabad, Telangana State. 9247004483/84 An Institute Of Holistic Learning Back To SSR Discovery Academy Website APPLICATION FORM Admission information Photo Browse Name of the Student * DOB Mother’s Name * Father’s Name * Gender Male Female Identification Marks Father’s Educational Qualification & Profession * Mother’s Educational Qualification & Profession * No. of Children Serial order of the child in the family Educational Qualification of the Children in the Family Name * Qualification * Does anybody speak English in the family? Yes NO Appropriate distance between the school and home The child likes (as per the observation of the parents) Games LessAverageMore Painting LessAverageMore Singing LessAverageMore Dancing LessAverageMore Name of the Family Doctor and address with phone no. Habits of the child Name and Grade of any other student that you know better in the school Name of the Student * Name of the Student * Caste (for statistics purpose only) * Mother tongue * Address for communication Present Address Permanent Address Office Address Mobile No * Mobile No * E-mail * Proposed Second Language Hindi Telugu Parent Declaration I am here with declaring that I have known the complete information of the school, curriculum, school fees and school fee payment schedule. I shall abide by the rules and regulations of the school and I promise to pay the school fee in scheduled time. Any disputes in jurisdiction of Nizamabad courts only. Date: Parent’s Signature * Student’s Signature * Office Use Only Application form Admitted Rejected Reason for rejection Office In-charge / Administrative Officer Signature of the Principal Passwords field name to validate match is required Item Qty Price Item field_1 field_1*field_2 Item field_1 field_1*field_2 Total Submit
