Fellowship International School

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 & Banking

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

Previous School Studied (if any)

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.

Kindly Attach the Following Documents

A. Birth CertificateB. 2 Passport Size PhotoC. Adhar Card XeroxD. Caste Certificate of Parent (for SC/ST/OBC)

Date

Signature of Parents