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Name of the Child*
Please Fill Name of the Child.

Sex*
Please Fill Sex.

Class to Which Admission Sought*
Please Fill Class to Which Admission Sought

Date of Birth*
Please Fill Date of Birth

Language(s) Spoken (Separate By Comma & Write Mother Tongue in UPPERCASE)*
Please Fill Language(s) Spoken (Separate By Comma & Write Mother Tongue in UPPERCASE)

Height (cm)*
Please Fill Height (cm)

Weight (kg)*
Please Fill Weight (kg)

Has Been Innoculated
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Any Special Interest in Hobbies, Games, Music or Other Extra Curricular Activities*
Please Fill Any Special Interest.

Place and Country of Birth*
Please Fill Place and Country of Birth

Please Give History of Serious Illness in the Past (If Any)
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Does the Child Have any Identical Allergies? (If Yes, Mention)
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Any Physical / Mental Handicaps ? (If Yes, Mention)
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Is the Child a Bed Wetter ?*
Please Fill Is the Child a Bed Wetter ?

Record of Previous Education (Mention : School, Place, Year, Exams/Standards Passed, Percentage/Marks, Day Scholar/Hosteller etc)*
Please Fill Record of Previous Education (Mention : School, Place, Year, Exams/Standards Passed, Percentage/Marks, Day Scholar/Hosteller etc)

If Non-Resident Indian (and if the child has been in India before), Period and Place of Stay in India*
Please Fill If Non-Resident Indian.

Names of all the Brothers and Sisters With Their Age*
Please Fill Names of all the Brothers and Sisters With Their Age

Prizes or Awards Won by Child Either for Scholastic or any Other Activity (If Any)
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Has the Child Been Away From Parents So Far ? (If Yes, Please Give Details)
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Has the Child Been Removed From any Other School for Disciplinary or Academic Reasons? (If Yes, Please Give Details)
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Name, Occupation and Nature of Duties of Father*
Please Fill Name, Occupation and Nature of Duties of Father.

Name, Occupation and Nature of Duties of Mother*
Please Fill Name, Occupation and Nature of Duties of Mother

Full Address of Father / Mother With Telephone Nos. (Also Mention Permanent Home Address if Different)*
Please Fill Permanent Address

Name, Address and Phone No. of Local Guardian in Pathankot*
Please Fill Name, Address and Phone No. of Local Guardian in Pathankot.

Enter text here*
Enter text herePlease Fill Enter text here.

Dalhousie Road, Bungal,

Pathankot, Punjab - 145001

Phone no.: 6239154500, 9646426564, 9501500034.

Email: educationihs@gmail.com

Website: indianheritageschool.com

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