Online Registration (Other Than Nursery)

Please Fill in Yellow Box. (FILL IN CAPITAL LETTERS)

Student Photo

Father Photo

Mother Photo

GENERAL INFORMATION
I/We are considering enrolment in Grade/ Class with effect from
Have you ever applied for admission at any G.D. Goenka Schools earlier
If YES, when? Academic year for which Class
 
PERSONAL DATA OF STUDENT
Surname First Name Middle Name
Date of Birth
In words
Sex Nationality Mother Tongue
Permanent Address
City Pin Code Country
Mob# Home Tele#
Mailing Address if different
Pin Code Country
Email Address
 
HEALTH INFORMATION
Allergy/ Chronic ailment if any Physical handicap/ disability if any
Blood Group Any other health problem
Does the child have any special needs?
 
EDUCATIONAL BACKGROUND
Name(s) of previous and present Schools(s) attended
City State Country
Has the child ever been Expelled/Rusticated/Not promoted to next class by any School?
If YES, Please give details :
Reason for leaving the School?
 
PARENTS/ GUARDIANS INFORMATION
Father's/Guardian's Details
 
Mother's Details
 
Relationship with Child Are parents living together
Whether son/daughter of a single parent?
 
PROFESSION / OCCUPATION
Father's/Guardian's Profession/Occupation
Off. Address
(if , use two lines)

Off.Tele.# Mob #
E-mail
Mother's/Guardian's Profession/Occupation
Off. Address
Off.Tele.# Mob #
E-mail
 
 
OTHER RELATIVES INFORMATION
Real Brother; Sister 1. Name Age School attending/attended
Real Brother; Sister 2. Name Age School attending/attended
Relatives who are studying/have studied in the G. D. Goenka Schools
Name Class Year of Joining Relationship
 
REFERENCES Details of persons who can vouch for you not related you
Name Designation Telephone
Address City/ State Pin Code
 
Name Designation Telephone
Address City/ State Pin Code
 
TRANSPORT
School Bus Facility      
 
ADDITIONAL INFORMATION
Aadhaar card(Father) Aadhaar card(Mother) Aadhaar card(Child) Aadhaar card(Guardian)
 
DECLARATION / UNDER TAKING
I

hereby declare that the information given above by me is correct to the best of my knowledge and belief. Admission of the child may be cancelled if any information is found to be false/incorrect. I also understand that the use of the School transport is optional and can be availed on payment of the prescribed charges and is subject to availability of a seat.