Fellowship International School

Higher-Secondary Section

Chikhli, Dist. Navsari.

MOB. 6352787611

Application Form

Student Information

Student's Name

Place of Birth

Date of Birth

Date of Birth (In Words)

Religion

Caste & Sub Caste

Parent / Guardian Information

Mother's Name

Father's Name

Father's Occupation

Annual Income

Parents Qualification (Father)

Parents Qualification (Mother)

Mobile (Father)

Mobile (Mother)

Contact, Identity & Academic Details

Address of Correspondence

E-mail

Aadhar Card No.

BPL Card No. (Optional)

Bank Name - Branch

Child/Parent Bank A/c No.

UID No

Bank A/c. Holder Name

IFSC Code

Admission for Standard

Stream

Year of Appearing for X Board

Affiliated To

Second Language in Class X

Name and Place of the Previous School

Declaration

I hereby state all the information furnished above are true to the best of my knowledge. I hereby declare that, I shall abide by all the rules and regulations of this institution and if my child fails to observe the same, the school shall have all rights to rusticate my child.

Date

Signature of Parents