Page 6 - SCHOOL DIARY 2019-20

Permanent Address as per
Passport

Alternative Emergency No.

Residential Address :

Way No. Building No. Flat No.
Class & Sec
Locality

Particulars of Brothers / Sisters in the School

G R No. Name

Mode of Transport for the Student : 2. Vehicle Driven by the Parent
( Tick on the appropriate box ) 4. Company’s Vehicle
6. Travel on Foot
1. School Bus
3. Picked up by Driver / Friend / Relative
5. Private Bus

Any ailment / allergy / previous medical history

We have read all the rules and regulations given in the diary. We hereby promise to abide by them.

Father’s Signature Mother’s Signature

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