Shimmering Stars | Registration

REGISTRATION FORM

(A unit of Angels & Arks Educational and Charitable Trust)

Sector-9,C.D.A, Cuttack-753014(Odisha)

Phone:9238132326,9937048685

Email:Info@shimmeringstars.co.in

Website:www.shimmeringstars.co.in

A COMPLETE DAY BOARDING-CUM-PLAY SCHOOL

Full name of Child(Capital Letter) *

Date of Birth *

Religion *

Place of Birth*

Nationality*

Gender*

Language Spoken at Home*

Father's Photo*

Mother's Photo*

Child's Photo*

Admision sought into(Tick the Appropriate one)

Day Boarding
Therapy Center
Play School

Please specify, your Child Eating Habits*

PARENT'S INFORMATION

Father's Name *

Mother's Name *

Father's Occupation*

Mother's Occupation*

Father's Office Address*

Mother's Office Address(If Working)*

Residential Address*

Phone*

Alternative Phone No*

Email*

Whatsapp No*

Birth Cerificate*

Adhar No of Child*

Declaration

I do hereby certify that the information given in the Registration form is complete and accurate. We consent to abide by the school/center rules and regulations & in force time to time. If,inspite of normal precaution taken by the school, any mishap,accident or injury occurs during the period of my ward's stay in the school or if and when on picnics and excursions, we will not hold the institution or any member of the staff wholly or partly responsible for it.

Signature of Father*

Signature of Mother*

Notes:

(1)Birth Cerificate of the child has to be submitted with the submission of the Registration form.

(2)Incomplete Forms will not be accepted.

(3)All fee can be paid by cash or online through bank transfer and Google pay/phone pay or any other UPI.

(4)The Registration fee is neither refundable nor transferable to another year.Registration has to be done at the beginning of each session.