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Name of childPlease provide child name as appear on their birth certificate

ID/passport NoPlease provide child IDpassport no

Gender

Girl     boy    

AddressPlease provide residential address

Prefered Class

2-3 years     3-4 years     4-5 years     5-6 years    

*MothersMother's name

FatherFathers name

*Mobile number of parentPlease provide mobile number of parentgurdian

*Email addressPlease provide email

Fields with (*) are compulsory.