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

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

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.

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