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Admission Report

The document is an admission registration form for Mokshith Bharathavalli Yatheesha to The Indian High School in Dubai for the 2023-2024 academic year. It provides details about the student such as name, date of birth, nationality, religion, parents' names and contact information, current grade, address, siblings, and transportation details. At the bottom, the form states that the information provided is true and incomplete information could result in rejection or cancellation of admission without refund of fees.

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Hamda
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121 views2 pages

Admission Report

The document is an admission registration form for Mokshith Bharathavalli Yatheesha to The Indian High School in Dubai for the 2023-2024 academic year. It provides details about the student such as name, date of birth, nationality, religion, parents' names and contact information, current grade, address, siblings, and transportation details. At the bottom, the form states that the information provided is true and incomplete information could result in rejection or cancellation of admission without refund of fees.

Uploaded by

Hamda
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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THE INDIAN HIGH SCHOOL, AL GARHOUD - DUBAI

PO.Box 106 Infront of Welcare Hospital, Dubai, UAE Tel:042823555


Email:ihsregistrar@ihsdubai.org, Website: ihsdubai.org
ADMISSION REGISTRATION FORM
ACADEMIC YEAR 2023-2024
Grade KG 1 Application Date 27 OCT 2022 Registration No AGC-230057 Category GENERAL

STUDENT’S PARTICULARS
Full name of student MOKSHITH BHARATHAVALLI YATHEESHA
Date of birth 20 FEB 2019 Gender MALE
Nationality INDIA Religion HINDUISM
Mother tongue KANNADA Passport number T5765091
784-2019-3954381-
Does the child have UAE residence visa YES Emirates ID number
1
Name of the school last attended
Address of school last attended
Curriculum of school last attended
Grade last attended
Aggregate score
Second language
Medical conditions (if any) NO.
Special educational needs (if any) NO.
Email ID for correspondence YATHISHABN@YAHOO.COM
Contact no. for correspondence 971555114205
ADDRESS DETAILS
UAE PERMANENT ADDRESS(as per student's passport)
Apartment Number 1504 Apartment Number 101
Building name ABDHUL AZIZ BUILDING Building name SUNDRAMMANAGARAJUNIL
Emirate SHARJAH Country INDIA
City AL NAHDA State & City KARNATAKA HASSAN
Street C2 BLOCK Street BHARATHAVALLI
Pin Code 573201

PARENTS' PARTICULARS
FATHER MOTHER
MR. YATHEESHA BHARATHAVALLI MRS. SAHANA THIMMANAHALLI
Full Name
NAGARAJU SWAMYGOWDA
Nationality and Religion INDIA - HINDUISM INDIA - HINDUISM
Educational qualification MBA B.SC
Profession/Occupation BANK CLERK HOUSE WIFE
Name of organization NATIONAL BANK OF RAS AL KHAIMA NA
Monthly income AED 5000 - AED 10,000 UNEMPLOYED/NA-
Is the parent a resident of UAE YES YES
Emirates ID number 784-1987-1953285-9 784-1996-0314071-8
Residence Tel. Number 00555114205 00555114205
SAHANAYATHISHMOKSHITH@GMAIL.
Personal email ID YATHISHABN@YAHOO.COM
COM
Mobile Number 00555114205 00528529352
Work email ID
SIBLING DETAILS

Date of birth
Name of sibling Gender Current school GR Number
(dd-mmm-yyyy)

OTHER DETAILS

Is the parent an alumnus of this school? : NO


Name GR No. Year of graduation from school

Is the parent an employee of this school? :


Employee ID Section/Department
NO

TRANSPORT DETAILS
Preferred mode Area Pick up point Landmark
OWN TRANSPORT

DECLARATION
1. I hereby declare that :
a. I have carefully read through the rules,regulations,admission procedure and document requirements on the
school website.
b. The information provided in this form is true.
2. I accept that incomplete/inaccurate information or any duplication/manipulation will result in
a. Rejection of the application without any consideration.
b. Cancellation of offer of provisional admission/admission and any advance fee paid will not be refunded

Name: MOKSHITH BHARATHAVALLI YATHISHA Date: 27 OCT 2022

NOTE - This application only confirms registration and does not indicate confirmation of admission

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