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: 221415

Application Form for Admission: Academic Year 2021-2022

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.

Admission For Jhalaria Campus / North Campus

Class to which admission is sought

Student Details

Gender:   Male         Female
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Report Cards-1 ( Upload .jpg, .png or .jpeg image )
Report Cards-2 ( Upload .jpg, .png or .jpeg image )

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

150 Character(s) Remaining

Father's Detail

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School(s) Attended
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College(s) / Institute(s) Attended
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Mother's Detail

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School(s) Attended
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College(s)/ Institute(s) Attended
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Details of Sibling(s) ( Real brothers and sisters )

Sr.No. Sibling's Name Gender School/College Class/Year City
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Residence Details

Other Details (Tick if applicable)

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

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