Amity School - Bharuch
Dahej Bypass Road,Bharuch,Gujarat
Ph : 02642239635
 
 
Registration Form for the Admissions 2016-17
(TO BE FILLED IN CAPITAL LETTERS)
Academic Year * : Board * :
Medium * : Standard * :
 
Student Details :
Student Name* :    
Birth Date * :  
Gender * : MALEFEMALE
Residence Address* :
House No * : Society Name * :
Road * : Area * :
City* :
Student's Previous School : :
 
Parent Details :
FATHER MOTHER
Name *
Qualification *
Occupation *
Designation *
Name *
Qualification *
Occupation
Designation
Office Address * Office Address
Office City *
Office State
Office City
Office State
CONTACT NO. :
(Res.)
(Mobile) *
(Office)
Email ID*
Income *
CONTACT NO. :
(Res.)
(Mobile)
(Office)
Email ID
Income
 Please enter security code : 
 
 
 
 
Note :Kindly carry one photograph of Student, Father and Mother along-with the Birth Certificate of student for admission from Nursery to STD 1 and Caste Certificate (if applicable).