Jhalaria, Bypass Road, Indore - 452016, Madhya Pradesh, India

Ph: 9111104781 / 82, 9644733315 / 16, Email: info@shishukunjindore.in, www.shishukunj.in
CBSE Affiliation No. 1030239
Form Number: 210853

Application Form for Admission: Academic Year 2020-2021

For Jhalaria Campus

1. Admission is only against vacancy in respective grade.
2. Please ensure the form is complete in every respect.
3. Please tick the appropriate boxes.

Class to which admission is sought

Student Details

Gender:   Male         Female
Upload Recent Photograph of Student ( Upload .jpg, .png or .jpeg image )

Father's Detail

Upload Father's Recent Photograph ( Upload .jpg, .png or .jpeg image)
School(s) Attended
1.
2.
3.
College(s) / Institute(s) Attended
1.
2.
3.

Mother's Detail

Upload Mother's Recent Photograph ( Upload .jpg, .png or .jpeg image )
School(s) Attended
1.
2.
3.
College(s)/ Institute(s) Attended
1.
2.
3.

Details of Sibling(s) ( Real brothers and sisters )

Sr.No. Sibling's Name Gender School/College Class/Year City
1.
2.
3.
4.

Residence Details

Other Details (Tick if applicable)

 Staff Ward
 Differently Abled
 Class Repeated
 Member of Scheduled Caste/Scheduled Tribe

Information About Any Achievements / Special Ability (Academic or Non-Academic).

150 Character(s) Remaining

Declaration

I hereby confirm that all the above information is correct. I also agree to the following:

Any wrong information may lead to non admission or cancellation of admission
Submission of application form does not imply confirmed admission