Registration Form
Email address *
Presently studying at School *
Presently studying at Class *
Class in which Registration is sought for *
Academic Session in which is registration is sought for *
First Name *
Middle Name
Last Name *
Date of birth *
MM
/
DD
/
YYYY
Gender: *
Father's Name *
Occupation (Father's)
Mother's Name *
Occupation (Mother's)
Address 1: *
Address 2:
City *
State *
Country *
Mobile 1: *
Mobile 2:
Does he/ she have any real brother and sister studying in the Cynthia School?
Clear selection
DECLARATION
1. I hereby solemnly declare that all the statements made in the above form are true and correct to the best of my knowledge& belief.
2. I fully understand that in the event of any information being found false or incorrect, registration and admission of my son/ daughter may be cancelled.
3. I also declare that the date of birth and spelling of the name of my son/ daughter are correctly given in this form and that I shall NOT make a request for any change later on.
I am keen to have my son/ daughter educated.
.
I hereby agreed to abide by them.
Place:
Date:
MM
/
DD
/
YYYY
Name of the Father/ Mother/ Legal Guardian
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy