Registration Form - Shishukunj International

Registration Form for Admission: Academic Year 2023-2024

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.

Preferred Campus for Admission

Preferred Campus*

Class to which admission is sought

Class*

Class In Words

Ward Details

First Name*

Middle Name

Last Name*

Gender:* Female Male

Date of Birth*

Age in Words

Date of Birth (In words)

Place of Birth*

Citizenship*

Upload Recent Photograph of Ward* ( Upload .jpg, .png or .jpeg image )

Upload Aadhaar card of Ward ( Upload .jpg, .png or .jpeg image or PDF )

(If not uploaded at the time of registration, the ward's Aadhaar card no. and self-attested copy of Aadhaar card need to be submitted within 30 days of admission confirmation.)

Ward's Aadhaar No.

Present School and Class (except Nursery)

School Name*

City*

Class*

Upload previous 2 years Report Cards of the Ward (Applicable for aspirants of classes I and above)

Report Cards-1 ( Upload .jpg, .png or .jpeg image or PDF )

Report Cards-2 ( Upload .jpg, .png or .jpeg image or PDF )

Proficiency/ Achievements Record, if any

Please provide details of achievements in:

Sport(s) Performing Arts (Music, Dance, Drama, Craft etc) Responsibility held in school or community Other

Other Academic & Misc. Information

Subjects studied (for aspirants of classes III and above) Medium of instruction Exceptional academic and co-curricular achievement, if any

Does the ward have any developmental difficulties or special learning needs?*
Yes No

Has the ward ever received any specialised instruction e.g. speech therapy,remedial reading support?
Yes No

Father's Details

Father's Full Name*

Academic Qualification*

Upload Father's Recent Photograph* ( Upload .jpg, .png or .jpeg image)

Office Address*

Office Phone No.*

Mobile No.*

Email Address*

Occupation*

Designation

Name of Organisation*

Upload Father's Aadhaar card.* ( Upload .jpg, .png or .jpeg image or PDF)

Father Aadhaar No.*

School(s) Attended

School*

City*

Year

School

City

Year

School

City

Year

College(s) / Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

College*

City*

Year*

College

City

Year

College

City

Year

Mother's Details

Mother's Full Name*

Academic Qualification*

Upload Mother's Recent Photograph* ( Upload .jpg, .png or .jpeg image )

Office Address*

Office Phone No*

Mobile No.*

E-mail Address*

Occupation*

Designation

Name of Organisation*

Upload Mother's Aadhaar card.* ( Upload .jpg, .png or .jpeg image or PDF)

Mother Aadhaar No.*

School(s) Attended

School*

City*

Year*

School

City

Year

School

City

Year

College(s)/ Institute(s) Attended ( Kindly enter in the order of the highest qualification to the lowest qualification )

College*

City*

Year*

College

City

Year

College

City

Year

Reference Details (Give Name, Address and Mobile Number of two known residents of Indore who know you well)

First Reference Name*

First Reference Address*

First Reference Mobile*

Second Reference Name*

Second Reference Address*

Second Reference Mobile*

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

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

Residence Details

Permanent Residence Address*

Permanent Residence Phone*

Present Residence Address*

Present Residence Phone*

Other Details (Tick if applicable)

Staff Ward

Differently Abled / with Special Needs

Class Repeated

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*

Admissions Office Details

THE SHISHUKUNJ INTERNATIONAL SCHOOL

NORTH CAMPUS

Gram Badodia Ema, Behind Vishwanath Dham,

Indore - Ujjain Road, Indore

Phone : 6262628311, 6262628312

Landline No. : 0732 1299017

Email : info.north@shishukunjindore.in

Timings: 10 am to 2 pm, Monday to Saturday

CBSE Affiliation No. 1031254

THE SHISHUKUNJ INTERNATIONAL SCHOOL

JHALARIA CAMPUS

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

Junior Wing: 9111104781/82

Senior Wing: 9644733315/16

Email : info@shishukunjindore.in

Timings: 10 am to 2 pm, Monday to Saturday

CBSE Affiliation No. 1030239