Admission Application Form

GD GOENKA SCHOOL ROHTAK Enquiry Form

Student Information

Name of Child**

Gender

Date Of Birth *

Parent's Information

Father’s Name*

Father’s Qualification

Father’s Occupation

Mother’s name*

Mother Qualification

Mother Occupation

Residential Address

Phone Nos(R)

Phone Nos(O)

Mobile No*

Email Address*

Source of Enquiry*

Select Staff/Reference By