CHINMAYA INTERNATIONAL VIDYALAYA P 125,WARANGADE, MAAN, BOISAR, PALGHAR-401501.
    Telephone No:7378489121, 9168474791
    ACADEMIC YEAR 2020-21
    REGISTRATION FORM

    NAME OF THE PUPIL [In Capital Letters] DATE OF BIRTH GENDER
    ADDRESS FOR CORRESPONDENCE
    TEL. No.(s)
    PERMANENT ADDRESS*
    CLASS FOR WHICH ADMISSION IS SOUGHT
    RELIGION
    MOTHER TONGUE
    LANGUAGE SPOKEN AT HOME

    PARENT'S INFORMATION:


    FATHER'S NAME*
    EDU. QUALIFICATION
    OCCUPATION & DESIGNATION
    NAME & ADDRESS OF THE ORGANIZATION
    TELEPHONE No. (s)
    MOBILE No.(s)
    E-MAIL ID*
    NAME OF THE MOTHER
    EDU. QUALIFICATION
    OCCUPATION & DESIGNATION
    NAME & ADDRESS OF THE ORGANIZATION
    TELEPHONE No.(s)
    MOBILE No.(s)
    E-MAIL ID
    TOTAL ANNUAL INCOME (In Rs.)
    HOW MUCH TIME DO YOU SPEND WITH YOUR CHILD IN A DAY? (In Hrs.)


    DOES YOUR WARD NEED SPECIAL CARE?(IF SO, PLEASE GIVE DETAILS.)
    ANY LEARNING DISABILITY (If so, Please give details)
    SIBLING : ( Own brother/ sister only)
    IF SIBLING IN CHINMAYA VIDYALAYA GIVE DETAILS

    I / we hereby certify that the above information provided by me / us is correct and I / we understand that if the information is found to be incorrect, my ward shall be automatically debarred from selection / admission process without any correspondence in this regard. I / we also understand that the application / registration/short listing do not guarantee admission of my ward. I /we accept the process of admission undertaken by the school and I / we will abide by the decision taken by the school authorities.