The Shishukunj International School, North Campus

Gram Badodia Ema, Behind Vishwanath Dham, Indore-Ujjain Road, Indore

Ph: 6262628311 ,6262628312
Email: info.north@shishukunjindore.in
www.shishukunjnorthindore.in

CBSE Affiliation No. 1031254

Application Form for Admission: Academic Year 2022-2023

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 North Campus

Class to which admission is sought

Student Details

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

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

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School(s) Attended
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College(s)/ Institute(s) Attended
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Reference Details (Give Name, Address and Mobile Number of two known residents of Indore whom you know well)

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