Page 10 - School Diary 2023-24

Permanent Address as
per Passport

Alternative Emergency No.

Residential Address:

Way No.________________ Building No._____________ Flat No.

Locality

Particulars of Siblings in the School

G R No. Name Class & Sec

Mode of Transport:

( Tick the appropriate box)

1. School Bus 2. Vehicle driven by the Parent

3. Picked up by Driver / Friend /Relative 4. Company’s Vehicle

5. Private Bus 6. Walking

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 Student’s Signature