I wish to register the name of my son/daughter/ward for admission to AKSHAR. I give below all the necessary particulars :
ADMISSION DESIRED TO CLASS :	DATE OF JOINING AKSHER : (to be Filled in by School)
NAME OF CHILD :
DATH OF BIRTH: DATE MONTH YEAR	SEX :
RES. ADDRESS :	AGE ON 1/4/2011 : YRS MTH
	MOTHER TONGUE :
	RES. TEL. NO :
NATIONALITY :	MOBILE NO :
LANGUAGE SPOKEN AT HOME :	E-MAIL :
SCHOOLS ATTEND :
PARENT"S INFORMATION
FATHER"S NAME :	MOTHER"S NAME :
EDUCATION : (School, college, etc)	EDUCATION : (School, college, etc)
OCCUPATION :	OCCUPATION :
DESIGNATION :	DESIGNATION :
NAME OF THE OFFICE :	NAME OF THE OFFICE :
ADDRESS :	ADDRESS :
OFF. TEL. NO. :	OFF. TEL. NO. :
FAMILY INFORMATION
Type of family jt. / Nuclear : Name & ages of Siblings:
Name Age School 1 2 3
Please write a few lines about your child seeking admission. write in any language.
Declaration
I declare that above particulars are true and and correct. I also agree to abide by the rules and regulations of the school as will be in force from time to time.
Date: Name of Parent/Guardian: Place: Signature of Parent/Guardian: