EROS CONVENT SCHOOL (Recgd.)

Student Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Father's whats app number

(For government updates)

(###)

###

####

Mother's whats app number

(For government updates only)

(###)

###

####

Guradians/ Single parent/ Grand parents

(For government updates)

(###)

###

####

Whether family belongs to BPL? *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Whether family belongs to AAYL? *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Whether family belongs to EWS/Disadvantaged group? *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

IS CWSN? (CHILDREN WITH SPECIAL NEEDS) *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

CWSN TYPE (If the above field is YES then only give the type)

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Is Child Indian National ? *

Yes

No

Child is out from School ? *

Yes

No

ADMISSION DATE (DD-MM-YYYY) *

MM

DD

YYYY

Appeared for exam in previous class

Appeared

Not Appeared

Received State Scholarship *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Received Central Scholarship *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Specific Learning Disability (SLD) *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Autism/Spectrum/Disorder

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Attention Deficit Hyperactive Disorder (ADHD) *

Only mention, if you are in the possession of the certificate issued by concerned government authority.

Yes

No

Involved in extra curricular activity ? *

Yes

No

Vocational Courses *

Yes

No