Admission | Shining Stars Montessori School, House Of Children

First Name*

Middle Name

Last Name*

Date of Birth*

Gender*
Male Female Other

Child's Photograph *

Place of Birth*

Nationality*

Local Address 1*

Local Address 2

Country *

State *

City *

Postal Code *

Father's Name *

Mother's Name *

Father's Cell No. *

Mother's Cell No. *

Father's Email

Mother's Email

Father's Education

Mother's Education

Father's Profession/Occupation

Mother's Profession/Occupation

Father's Office Address

Mother's Office Address

Father's Work Profile

Mother's Work Profile

1. Name

Age

School

2. Name

Age

School

Blood Group *

Paediatrician

Ph No.

Allergies, if any

Name

Contact No.

Relation to the Child