Pentakids Playschool / Daycare / Abacus
Admission Form
Academic Year
Seeking for
Admission Type
Reference
Reference Name (Parent if any)
Your answer
Student's Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Birth Place
Your answer
Height
Your answer
Blood Group
Your answer
Any Physical Deficiency / Illness
Your answer
Address
Flat / House Number and Apartment Name
Your answer
Area / Road
Landmark
Your answer
City
Your answer
Pin code
Your answer
Father's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Occupation
Your answer
Mobile Number
Your answer
Email ID
Your answer
Annual Family Income
Your answer
Mother's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Occupation
Your answer
Mobile Number
Your answer
Email ID
Your answer
The student's current class and school
Please attach the Progress Report / Bonafide Certificate if any.
Your answer
Transport Facility Requred
Required
Preferred Batch
Required
Students Siblings Any
Sibling's Name and Date of Birth
Your answer
Total Fees
Your answer
Given discount
Your answer
Total fees after discount
Your answer
School Kit / Abacus Kit
Fees paid for
Fees paid now
Your answer
Payment Date
MM
/
DD
/
YYYY
Payment Mode
Fees Balance
Your answer
Teacher's Name (Accepting Person-Kindly sign the printed form)
Your answer
Any other Comments / Suggestion / Query / Feedback
Your answer
Place
Your answer
Date
MM
/
DD
/
YYYY
Signature (on printed form)
Your answer
Submit
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