Sarala Birla Academy | Academics

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A.Particulars of the student

Name in full (capital letters)*
Date of birth*
Place of birth
Mother tongue
Home town
Nationality*
Blood group*
Passport details (if any)
Class (for which the student is applying)*
Academic Year applied for*
Name of school attending at the time of applying
Previous school (if any)

B.Other details

Any medical / physical problem that could affect normal boarding school life
Interests (sports, music etc.)
Applicant's first languge known
Other languages known

C.About the family

	Mother	Father / Guardian
Name*
Nationality*
Educational qualification
Occupation*
Correspondence Address*
Phone number (residence)
Mobile number*
Email*
Fax


Any areas of specialisation / interests that can be of any use to the school community
Mother	Father / Guardian

D.Other family members (brothers, sisters, grandparents)

Name	Date of birth	Gender	Class studying / Occupation

I solemnly confirm that the information given above is correct to the best of my knowledge and belief .Further ,I understand
that any form of recommendation will disqualify my ward.I have read the school rules and agree to abide by them.

All the information given above is true and complete to the best of my knowledge

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