Indian Heritage School Pathankot-Dalhousie Road Bungal, Pathankot-145 001 (Punjab) Registration For Hostel Accomodation 1. Name of the Child 2. Sex: M/F Male Female 3. Class to which admission sought 4. Photograph Child 5. Date of Birth 6. Place and Country of Birth 7. Language's Spoken 8. Height (cms) 9. Weight (kg) 10. Any special interest in hobbies, games, music or other extra curricular activities, Please specify 11. Please give history of serious illnessn in the past if any: 12. Does the child have any identified allergies? 13. Any physical/ mental handicaps: 14. Record of previous education: 15. If non-resident Indian, has the child been in india before? Yes No If yes, period and place of stay in India: 16. Names of all the brothers and sisters with their age: 17. Has the child won any prizes or award either for scholastic or any other activity? If yes, please give details: 18. Has the child been away from parents so far? If yes, please give details: 19. Has the child been removed from any other school for disciplinary or academic reasons? If yes, please give details: 20. Name of Father Name of Mother 21. Occupation of Father Nature of duties 22. Occupation of Mother Nature of duties 23. Full adress of Father / Mother with phone no. 24. Name & Address of Local Guardian in Pathankot I agree and understand that registration of my child/ward is no guarantee of admission. I affirm that if my ward is admitted to the Hostel, he/she will remain hosteller till he/she studies in this School and that I will not request for changing his/her status from a boarder to a day scholar. Withdrawal from School Hostel at any time would mean withdrawal from School also and this type of with- drawal would demand three months notice or three months fee in lieu thereof both for School and Hostel. I understand that the School takes every care for the well being of the child. However, in case of any accident or mishap. I will not hold the School or its authorities responsible in any manner. Send