EmailMe Form - Creche: Advance Registration for Pregnant Mothers

Name
First Last
Mobile Number
Alternate Number
Expected date of delivery
MM / DD / YYYY
Your office is located in(only area)
Eg Sector 6 Noida
Your place of residence is located in
Eg: Pocket V MV-I.Please mention only area, House No. not required
How many months of maternity leave is allowed to you
Indicate as per office rules, 3 or 6 months
Want to say anything extra feel free to add
Please note that at present non refundable admission fee is Rs. 5000 and monthly creche fee is Rs. 5000(variable depending on services taken, for meals Rs. 1500 and for bath/massage Rs. 1500 extra). Submit the form if you have read the instructions given in website www.omsaicreche.blogspot.com