EmailMe Form - ELITE SENIOR SECONDARY SCHOOL

Academic Year *

Pupil's Name *

Date of Birth *

Age *

Religion *

Caste *

Sub Cast (SC/ST/OBC/General) *

Class to be Admitted *

Boarding *

Yes

No

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Contact No. *

Father's Name *

Occupation *

Office Address *

Contact No. *

Mother's Name *

Occupation *

Office Address *

Contact No. *

Mother Tongue *

Language Spoken at Home *

Allergy (if any) *

Name of the School Last Attended *

Medium of Instruction *

Duration of Study *

Class last attended/ studying *

Is the School recognised by the State Education Department *

Details of Brothers / Sisters