APPLICATION FORM FOR PRE-PRIMARY

  SECTION : *   Admission Year : *

  CLASS : *         APPLICATION DATE : *

  STUDENT's FIRST NAME : *    SURNAME: *

  FATHER's FIRST NAME : *   MOTHER's FIRST NAME : *

   MOTHER TONGUE : *       DATE OF BIRTH:*

  DATE OF BIRTH IN WORDS:*    GENDER:  *

  PLACE OF BIRTH : *    DISTRICT :

  RESIDENTIAL ADDRESS: *

  RESIDENTIAL PHONE NO.:                         NUMBER FOR SMS SERVICE.: *

                                                           FATHER's/GUARDIAN's DETAILS

  EDUCATION: OCCUPATION: ANNUAL INCOME :

  OFFICE ADDRESS:

  MOBILE NO.: * EMAIL-ID:

                                                           MOTHER's/GUARDIAN's DETAILS

  EDUCATION:   OCCUPATION: ANNUAL INCOME:

  OFFICE   ADDRESS:

  MOBILE NO.: EMAIL-ID:

  ADMISSION RECOMMENDED BY

To confirm your admission kindly pay fees by CASH/ CHEQUE/ IMPS/ RTGS directly in Central Bank of India, Laxmipuri branch, Kolhapur. Account No : 1715673332 , IFSC Code : CBIN0280645. Swiping facility is also avilable at school office.

I agree to abide by the rules & regulations of the school. Certified that,above statement is correct to the best of my knowledge.

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SHAHAJI CHHATRAPATI MUSEUM TRUST's

Chhatrapati Shahu Vidyalaya

New Palace Area,Kolhapur-416003. Tel: 2664184/ 8669630988

APPLICATION FORM FOR PRE-PRIMARY


CLASS : *	APPLICATION DATE : *
STUDENT's FIRST NAME : *	SURNAME: *
FATHER's FIRST NAME : *	MOTHER's FIRST NAME : *
MOTHER TONGUE : *	DATE OF BIRTH:*
DATE OF BIRTH IN WORDS:*	GENDER: *
PLACE OF BIRTH : *	DISTRICT :
RESIDENTIAL ADDRESS: *
RESIDENTIAL PHONE NO.:	NUMBER FOR SMS SERVICE.: *
FATHER's/GUARDIAN's DETAILS
EDUCATION:	OCCUPATION: ANNUAL INCOME :
OFFICE ADDRESS:
MOBILE NO.: *	EMAIL-ID:
MOTHER's/GUARDIAN's DETAILS
EDUCATION:	OCCUPATION: ANNUAL INCOME:
OFFICE ADDRESS:
MOBILE NO.:	EMAIL-ID:
ADMISSION RECOMMENDED BY
To confirm your admission kindly pay fees by CASH/ CHEQUE/ IMPS/ RTGS directly in Central Bank of India, Laxmipuri branch, Kolhapur. Account No : 1715673332 , IFSC Code : CBIN0280645. Swiping facility is also avilable at school office.
I agree to abide by the rules & regulations of the school. Certified that,above statement is correct to the best of my knowledge.
Enter Captcha: Can't read the image? click here to refresh
Back