Dikshayala Admission

Child's Information

Date:

Personal Information


Permanent Address


Residental Address (if different)


Previous School (if attended)


Health Information

BCG DPT Hepatitis A/BPVC (pneumococcal vaccine) IPC (polio)MMR MCV4 (meningitis) InfluenzaVaricella (chicken pox)


Parent's Information

Father's Detail


Mother's Detail


Other Detail

Understanding by Parents/Guardians

On behalf of students as parents/guardians I have carefully read the information mentioned in the form and prospectus containing a school code of conduct academic regulation and finantial requirements.