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5 views2 pages

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Uploaded by

Kaeshav Varshan D
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© © All Rights Reserved
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GREENWOOD HIGH IB SCHOOL - SARJAPUR

No. 8-14, Chikkawadayarapura, Varthur Sarjapur Road, Bengaluru, Karnataka, 560087


Phone : 080-22010500

ACADEMIC SESSION (2024 -2025) APPLICATION ID :


GWHIBSJP/2024-251635

REGISTRATION FORM

Mother's Photo
Father's Photo
Child's Photo

PARTICULAR OF THE CHILD

Student's Name : KAESHAV VARSHAN DHARMENDRA MOHAN PRABHU

Date of Birth : 20/04/2010 Age as on 31st May, 2024 14 YEARS 1 MONTHS


(in words) : Twentieth April Two Thousand Ten
Nationality : INDIAN

Blood Group : B+ Class : VIII

Gender : Male a Female

Religion : HINDUISM

Boarding Category : Boarder References :

Last School : VIKAASA WORLD SCHOOL Mother Tongue : TAMIL

2nd Language : 3rd Language :

PARTICULAR OF PARENTS

FATHER MOTHER
Name : MR. DHARMENDRA MOHAN MRS. SUBHASHINI SOWDAMBIGA

Occupation / Profession : PRABHU


BUSINESS BUSINESS-WOMAN

Designation : BUSINESS DIRECTOR

Qualification : BSC BSC

: VRD BEST FOODS PVT. LTD. SHADVIK NUTRI BEST PVT. LTD.
Organization
: VIRUSANGLAM, THIRUMANGLAM NO 10, RG NAGAR, MUTA COLONY,
Official Address
:
TALUK, MADURAI, TAMIL NADU PASUMALAI, MADURAI, TAMIL NADU
Pin Code : 9994949473 9994949473

Home TelePhone No : 9994949473 9994949473

Mobile No. : 8220000943 9994949473


Email Id : dharmendra@vrdbestfoods.in millletnminutes@gmail.com

Aadhaar No : 292376920532 520415551599

Employee of GreenWoo : NO NO
HOME ADDRESS/ADDRESS FOR CORRESPONDANCE

Residential Address : NO 10, 2ND STREET, RG NAGAR


MUTA COLONY, PASUMALAI

Pin Code : 625004 Locality : PASUMALAI


Phone No :
City : MADURAI State : TAMIL NADU Country : INDIA

GENERALS DETAILS

Guardian Name : Mobile :

Sibling Adm No. Name Current Class

CERTIFICATION FROM THE PARENT

I hereby certify that the above information is correct to the best of my knowledge & belief and that nothing has been
concealed therein. I understand the application/ registration/short listing does not guarantee admission to my ward. I accept the
process of admission undertaken by the school and I will abide by the decision taken by the school authorities.

Signature of the Father Signature of the Mother

Name : Name :

Date : Date :
: :

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