Khalsa Dharmik School

Student Information

Please attach a photocopy of Birth Certificate / Identity Card

Full Name*

Name (Punjabi)

IC Number

Enter IC to auto-fill DOB & age

Birth Cert No

Date of Birth*

Age

Where can we reach you?

Address*

Postcode*

Town

State

Tel No

H/P No*

Father & mother details

Father's Name

Occupation

H/P No

Mother's Name

Occupation

H/P No

School you attend daily

Present Govt / Private School

Standard / Form

Confirm the information above is correct

Date*

Signature of Parent / Guardian

Sign here ✍️

Admission No:

Date Admitted:

Class: