Medical Check-up of students by School Doctor

03 Apr 2020

12:00 am
Public

ABOUT EVENT

EVENT SPEAKERS

Registration for : Medical Check-up of students by School Doctor

Admission Form

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Candidate Details

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First Name

Last Name

Gender

MaleFemale

Date of Birth

Nationality

[group national_1]

Do You have any contact in India

NoYes

[group group-822_connectioninindia]

First Name

Last Name

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Mobile Number

[/group]

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Father's Details

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First Name

Last Name

Email Id

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Mother's Details

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First Name

Last Name

Is Parents Address is Same as Above?

[group address_same]

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

[/group]

Email-Id

Mobile Number

Permanent Address

[group parmenent_address_group-317]

Permanent Address

Street Address

Street Address Line 2

City

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Postal / Zip Code

[/group]

Email for regular official correspondence

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Reference Details

Any sibling already studying in school?

[group Sibling_already_studying_group-239]

Name

School Number

[/group]

Any of your relative ever a student of this school ?

[group group-712 relativeeverastudent]

Name

School Number

[/group]

Do you have some references to provide ?

[group some_references_group-57]

Details Reference 1

Full Name

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Phone Number of Reference

Details Reference 2 (Optional)

Full Name

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Phone Number

[/group]

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Details of Relative 1

*Details of the vistor/relations authorized to meet the child and take him/her out on school holidays.

Full Name

Relation

Phone Number

Details of Relative 2 (Optional)

Full Name

Relation

Phone Number

Source of Information about GNFC School

I agree to to abide by the rules & regulations of the Guru Nanak Fifth Centenary School, Mussoorie, printed in the prospectus and to pay the school fee in Advance.

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