admissions@kasigaschool.com
+91-99174-80913 / +91-9917480901

Admission Demo Form

KĀSIGA SCHOOL

DEHRADUN

KNOWLEDGE · STRENGTH · COMPASSION | Where learning is a celebration

Postal Address: C/O EBD Business Centre, 49, Rajpur Road, Dehradun-248001
School Address: Village Purkul, Off Dehradun-Mussoorie Highway, Dehradun-248009, Uttarakhand
Ph: +91 135 3090100 | Email: info@kasigaschool.com | Web: www.kasigaschool.com

Application Form

(To be filled in BLOCK LETTERS using black or blue ink)

Student’s Details

Stamp Size Photo
(Student)

Admission Sought to Class *

Entry age for class is 7 to 8 years, add one year for each class thereafter

Academic Session *

First Name *

Surname *

Gender *

Boy
Girl

Date of Birth *

Attested copy of birth certificate must be submitted with this form

Place of Birth *

Nationality *

Mother Tongue *

Languages spoken at home *

Dietary Preference *

Veg
Non-veg

Permanent Address *

Alternate Contact No. (Emergency) *

Medical Information

Blood Group

Chronic Ailment

Allergies

Any Other Health Problem

Physical Disability

Other Children in the Family (Siblings)

Name	Age	Sex	School / College	Action

School History (Most recent school first)

School Name & Address	Class	Board (CBSE, IGCSE, etc.)	Location	Action

Name & Address of Two Referees

Referee 1 Name & Address *

Referee 2 Name & Address *

Parent’s Details

Stamp Size Photo
(Father)

Father’s Details

Surname *

First Name *

Educational Qualifications

Occupation

Address for Correspondence

Residential Tel.

Office Tel.

Office Fax

Mobile *

Email *

Stamp Size Photo
(Mother)

Mother’s Details

Surname *

First Name *

Educational Qualifications

Occupation

Address for Correspondence

Residential Tel.

Office Tel.

Office Fax

Mobile *

Email *

Authorized Visitors

The following persons may please be allowed to visit my child:

Name	Relationship	Address	Contact	Action

Declaration & Signatures

I hereby certify that the above information is true to the best of my knowledge.

Father’s Signature / Date *

Mother’s Signature / Date *

Principal’s Order (For Office Use Only)

Admission Status:

Admission granted to class

Admission rejected
Keep pending for further action

Date:

Principal’s Signature: