ISS/WEBCIR/003/15-16
28 April 2015
Dear Parents,
Please fill up the form overleaf for entering the details of your child in the report card. Submit the form duly filled in to the respective class teacher on or before 3-5-15. Ensure that all entries are correct.
Sanchita Verma
Principal
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Student profile:
Name of student (In capital letters):
(Name as given in the passport)………………………………………………………………………………………………….........
G.R.No.: ………………..,………… Class:…………………………. Section:………,…………… House: ………………………
Date of Birth: ……/…../…… (DD/MM/YY) In Words …………………………………………………………………………………
Residential Address and Telephone No.: …………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
Mother’s Name: …………………………………………………… Father’s Name: ………………………………………………
Health status of student:
Height: ……………………………………. Weight: ………………………. Blood Group: ……………………………………….
Vision: (L)………………………………….. (R)……………………………. Dental Hygiene: ……………………………………
Specific Ailment, if any:…………………………………………..……………………………………………………………………
Signature with date and Name of parent: ………………………………………………………………………………………