Balvihar Enrolment Form 2018 - Auckland
Enrolment form for Auckland Balvihar - Saturdays & Sunday Sessions
Full Name of Child: *
Your answer
Gender: *
Required
Date of Birth: *
MM
/
DD
/
YYYY
Talents/hobbies/skills:
Your answer
Address: *
Your answer
Tel. No. (Home):
Your answer
Contact Email id: *
(Please provide an email id which you monitor regularly)
Your answer
Name on Donation Receipt: *
(This is the name that will appear on the Donation Receipt with which you can claim 33% from the IRD)
Your answer
Name of Mother/Guardian & mobile number: *
(Needed in case of an emergency)
Your answer
Name of Father & mobile number: *
(Needed in case of an emergency)
Your answer
Choice of Day *
Balvihar Term for 2018: *
(Please select which terms you want your child to attend. For the full year please tick all boxes)
Required
Donations for Balvihar 2018: *
Required
Mode of Payment of Donation: *
Required
Authorisation *
Required
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