Enquiry Form
Email address *
Age
as of April 2018
Branch *
Gender *
Required
First Name *
Middle Name
Last Name *
Date Of Birth *
MM
/
DD
/
YYYY
Date Of Birth (In Words) *
Nationality
Seeking admission for
Any Special learning needs (Please state in detail. This information will help us in assisting your child)
Name of previous school attended (if applicable)
Mother Tongue
Name and grade of sibling(s) currently studying/studied in our school (if applicable)
Address
Transport Required
Father's Name
Occupation
Office Telephone
Mobile No. *
Mother's Name
Off. Telephone
Mobile no.
E-mail
Guardian's Name
Off. Telephone *
Mobile No. *
E-mail *
Registered Mobile No. *
How did you hear about us ?
What influenced your decision to consider Kangaroo Kids School ( Tick all that apply) *
Required
Any comments / Observation
Preferred mode of contacting you
Please indicate the mode of communication preferred
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