Netkampuss

	Ajmera School
	Yogi Nagar, Eksar Road Borivali (W), Mumbai 400 092. TelNo: +91-22-28330864 (ICSE) website: www.ajmeraschoolicse.com

Academic Year*

Class*

Reference*

Student's Name*

Gender*

Male Female

Date of Birth*

Address*

Pincode*

Tel No

Presently the child studying in Grade *

Present School *

Health Information*

Please provide any information concerning your ward's physical or mental health (any difficulties) ,which the school should know about.

Mother's Name*

Mother's Qualification*

Occupation*

Mother's Mobile No.*

Email Id*

Father's Name*

Father's Qualification*

Occupation*

Father's Mobile No.*

Email Id*

Any elder sibling studying in AGS

If yes, then Current Class

Enter your Name
(Enquired By)*

Relationship with the Student *

Any Other Remark