Entab - CampusCare®

Please Fill the details as per the Aadhar Card

Student Details
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First Name

Middle Name

Last Name

Session

Admission Sought in Class

Date of Birth

Present Curriculum

Other Details

Email id for correspondence

Select Gender

Select Nationality

Present School & Class

Grade Seeking Admission

Mobile No. for sms correspondence

Parent Status

From where you came to know about the school
Father's Details
Title

Father Name

Occupation

Other Occupation

Qualification

Mobile No.

Email Id
Mother's Details
Title

Mother Name

Occupation

Other Occupation

Qualification

Mobile No

Email Id
Address Details
Present Address

Pin code

Permanent Address

In case of same Permanent address as present address please click on arrow(->), otherwise enter the Permanent Address

City/ District
Guardian Details
Name of the Local Guardian (If any)

Mobile No

Address

Select Nationality
Sibling
Any real Sibling studying in KIS()? Yes No

Note:- Please Enter Adm. No. & Press Enter

Adm. No.

Adm. No.
Other Details
How did you know about MSS?

Reference if any,Please specify
Weight

Height

Select Blood Group

Person's to Call (Name)

Relationship

Phone No. to Call

Vision

Family Doctor's Name

Doctor Phone No.
Epilepsy

Does you child have epilepsy? Yes No

If Yes, please provide details

Asthma

Does your child have asthma? Yes No

If Yes , please describe and attach any relevant information

Is your child physically challenged? Yes No

If Yes, please describe and attach any relevant information

Has your child ever had hearing difficulty? Yes No

If Yes, please mention

Has your child ever had vision problems? Yes No

If Yes, please mention

Hospitalization

Has your son/daughter been hospitalized in the last 5 years? Yes No

if so, for what reason?

Does your child have a medical condition the school should know about? Please describe

Allergies

Is your child allergic to anything? Yes No

If Yes, what is your child allergic to?

What is the reaction?

What is the treatment?

Medications

The School Medical Centre, is equipped to provide non-prescription medicines. These are administered by the School Nurse on the advice of the School doctor/physician/pediatrician. Please list any medication that you DO NOT want to be administered to your child.

Responsibility in an emergency-(please read carefully)
In an emergency, I authorize the School to provide consent for medical attention for my child. I agree to my child receiving such medical or surgical treatment as deemed necessary and understand that critical heath information which impact my child's education or well being will be given to persons responsible for child's care.

Responsible Person's Name

Relationship Father Mother
   I/We hereby certify that the above information provided by me/us is correct, if the information is found to be incorrect or false, the ward shall be automatically disqualified from Selection/Admission without any correspondance. I/We understand that the Application/Registration does not guarantee admission to my ward. I agree to abide by the rules and regulations of the institution

Do you Want to Register

Do you want admission counsellor to contact you?    Yes          No

   I Agree to the terms of submission.

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