SATNA

ADMISSION ENQUIRY FORM

Enquiry No.: Date:

A) Student Details

1) Student's Full Name:

2) Father's Full Name:

3) Mother’s Full Name:

4) Gender Male Female 5) Date of Birth: D D M M Y Y Y Y

7) Contact Details Mobile Email

Father

Mother

8) Enquiry for: New Admission OR Any Other Purpose

9) Enquiry for Academic Year 2 0 –

10) Enquiry for Grade Playgroup Nursery LKG UKG Higher Grade (Specify) ________

B) Complete Address of the Student

Residential Address:

Area:

City: State: Pin Code: Country:

C) Present School (Where the Child is currently studying)

School Name: Grade :

Board: ICSE CBSE CIE IB State Board Other Specify ________________

City

D) How did you come to know about us?

Existing Parent Reference Pre School Reference Website

Newspaper Ad Hoarding/Banner School Bus Display

Newspaper Inserts Emailer Exhibition/Seminar

Corporate Tie up Employee Reference (Name) ____________________________

Any other source, Please specify ____________________________________________________________________

E) Sibling Information
Siblings Nil 1 2 3

Gender Grade in which

Full Name DOB Current School
M F he/she is Studying

Enquiry Progress (For office use only)

Enquiry Registration Yes No

Registration No.: __________________________________

Any other Purpose

Date of Enquiry: Date of Assessment:

Attended by: Attended by:

Counselor Remarks: Principal Remarks:

(Signature) (Signature)