ISS/WEBCIR/004/15-16
28 April 2015
Dear Parents,
Please fill up the form overleaf for entering the details of your child in the report card. Ensure that all entries are correct. Also send four copies of colour photographs (Size 3 cm × 2.5 cm including border, in grey uniform) of your child. Submit the form duly filled in, along with photograph to the respective class teacher on or before 3-5-15. Please note that photographs will not be accepted if they are of any other size and if the child is not in grey uniform on the photograph.
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.: …………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………
Board Registration number of class IX for class X and of class XI for class XII: …………………………………………….
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: ………………………………………………………………………………………