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Podar International School Admission Form

This document contains a student admission form for Utkarsh Kumar seeking admission to class 5 at Podar International School in Santacruz, Mumbai for the 2023-2024 academic year. It includes personal details of the student like date of birth, address, family details of parents including their qualifications and contact information. It also has previous academic details and health information of the student. Documents required for admission like birth certificate, school leaving certificate, report cards and passport photo are also listed.

Uploaded by

Tejas Kumar
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214 views10 pages

Podar International School Admission Form

This document contains a student admission form for Utkarsh Kumar seeking admission to class 5 at Podar International School in Santacruz, Mumbai for the 2023-2024 academic year. It includes personal details of the student like date of birth, address, family details of parents including their qualifications and contact information. It also has previous academic details and health information of the student. Documents required for admission like birth certificate, school leaving certificate, report cards and passport photo are also listed.

Uploaded by

Tejas Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FOR OFFICE USE

Registration No.

Adm. File No.


T.C. File No.
Date Of Admission
Student Id. 1428293
Academic Year 2023-2024

To,
The Principal
Podar International School

I DHARMESH / KALPANA KUMAR seek admission for my child in

School Location : Santacruz Curriculum : ICSE. Class : V

STUDENT INFORMATION :

Name : UTKARSH KUMAR

(First) (Middle) (Last)

Date Of Birth : 10/01/2013

Place Of Birth : Mumbai Gender : Male Religion: Indian Hindu

Caste Category : Other

Nationality Indian Adhar Card No. 639275819953

Address for 503, Samruddhi Building,Road No. 22, Sion


Communication :
Sion,Mumbai

Maharashtra,India - 400022

Tel No : Mobile No : 9820183444

Email : [email protected]

EMERGENCY CONTACT :

Name : DHARMESH KUMAR Relationship : Father

Contact number : 9820183444


HEALTH INFORMATION:

Blood Group : A +ve

Height : 144 cms Weight : 25 kgs

Regular Medication :

Regular Medication
with dosage :

Any Impairment :

Exemption from
Activities :

INFORMATION OF PARENTS :

Father Mother

Name in Full : DHARMESH KALPANA KUMAR

Qualification : B.SC M.tech

Company Name : State Bank of India

Designation : Banker Housemaker

Date of Birth : 21/04/2023 19/04/1973

Mother Tongue : Hindi Hindi

Office address : 503, Samruddhi Building,Road No. 22, 503, Samruddhi Building,Road No. 22,
Sion Sion

Sion,Mumbai Sion,Mumbai

Maharashtra,India-400022 Maharashtra,India-400022

Tel No. (Res) : 9004113336

Tel No. (Off) :

Mobile No : 9820183444 9820183444

Email : [email protected] [email protected]

PAST ACADEMIC INFORMATION :


Name of the school attended Location Class Completed Years Attended Language of Instruction Curriculum

Podar International School(ICSE) Nerul 4th 1 English Icse

Documents to be submitted : 1) Xerox copy of Birth Certificate 2) School Leaving Certificate Original
3) Report Card Original 4) Color Passport size Photograph
I shall abide by all the rules and regulations of the school already in existence or those that may be impemented in future.

24-06-2023

Date Signature of the Parent


birth_certificate
Parent_PanCard
AdrProof
Marksheet
SchoolLC
AadhaarCard
PrvReport
StuPhoto

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