SHEVEECA ACADEMY

Please provide details of your student or child below. To be completed by Parent/Guardian.

Candidate's Personal details

Residential address & Family Info

Emergency Contact

Admission seeking in

Student name

Date of birth

Gender

Place of birth

Religion

Nationality

First language

Other languages(Comma seperated)

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Address

Father's Information

Full name

Educational Qualification

Profession

Designation

Phone

Mother's Information

Full name

Educational Qualification

Profession

Designation

Phone

Guardian's Information

Full name

Educational Qualification

Profession

Designation

Phone

Emergency Contact

Name

Relation

Phone Number

Name

Relation

Phone Number

Sibling 1 information

Full name

Date of birth

Gender

Name of school

Class

Sibling 2 information

Full name

Date of birth

Gender

Name of school

Class

Student admission form

Father's Information

Mother's Information

Guardian's Information

Emergency Contact

Sibling 1 information

Sibling 2 information