Admission seeking class*---Select Class---PlaygroupNursaryUkgSkgOneTwoThreeFourFiveSixSevenEight
First Name*
Middle Name
Last Name*
Gender*---Select Gender---MaleFemale
Date of birth(BS)*
Date of birth(AD)*
Nationality*
Religion*--Select Religion--HinduismBuddhismIslamKiratismChristianityOther Religion
District*--Select District--achhamarghakhanchibaglungbaitadibajhangbajurabankebarabardiyabhaktapurbhojpurchitwandadeldhuradailekhdang deukhuridarchuladhadingdhankutadhanusadholkhadolpadotigorkhagulmihumlailamjajarkotjhapajumlakailalikalikotkanchanpurkapilvastukaskikathmandukavrepalanchokkhotanglalitpurlamjungmahottarimakwanpurmanangmorangmugumustangmyagdinawalparasinuwakotokhaldhungapalpapanchtharparbatparsapyuthanramechhaprasuwarautahatrolparukumrupandehisalyansankhuwasabhasaptarisarlahisindhulisindhupalchoksirahasolukhumbusunsarisurkhetsyangjatanahutaplejungterhathumudayapur
Municipality/VDC
Ward Number
Place/Tole
Phone Number*
District--Select District--achhamarghakhanchibaglungbaitadibajhangbajurabankebarabardiyabhaktapurbhojpurchitwandadeldhuradailekhdang deukhuridarchuladhadingdhankutadhanusadholkhadolpadotigorkhagulmihumlailamjajarkotjhapajumlakailalikalikotkanchanpurkapilvastukaskikathmandukavrepalanchokkhotanglalitpurlamjungmahottarimakwanpurmanangmorangmugumustangmyagdinawalparasinuwakotokhaldhungapalpapanchtharparbatparsapyuthanramechhaprasuwarautahatrolparukumrupandehisalyansankhuwasabhasaptarisarlahisindhulisindhupalchoksirahasolukhumbusunsarisurkhetsyangjatanahutaplejungterhathumudayapur
Phone Number
School Name
Class From--Select Class--playgroupNursaryUkgSkgOneTwoThreeFourFiveSixSevenEight
Class To--Select Class--playgroupNursaryUkgSkgOneTwoThreeFourFiveSixSevenEight
Date From
Date To
Blood Group*---Select Blood Group---A+B+0+O-AB+AB-A-B-
Physical Handicap/DisabilityYesNo
Specify if any health problem
Has your child been immunized the following vaccinations
BCG DPT Hepatitis A/BPVC (pneumococcal vaccine) IPC (polio)MMR MCV4 (meningitis) InfluenzaVaricella (chicken pox)
Specify if Allergies (e.g. to food, condition, insect bites, medication) if s/he has
Currently on medicationYesNo
Please mention type of medication and if it will be needed to be given during school hours
Any existing condition (e.g. asthma, epilepsy, disability, prone to migraines/fainting/dizziness etc.)?
If a child become ill or in other case of emergency whilst in school, do you want the school to provide any medical treatment or other support that might be needed?YesNo
Please mention nearest or preferred hospital
Education
Occupation
Name of the office
Degination
Phone
Mobile*
Address
Is your child in care of local guardian?--Select --YesNo
If yes, please specify relationship
School's transportation required--Select --YesNo
If yes, please specify the desired pick up and drop point
What is your child's favourite or strongest interest at present?
In what ways would your like to see Small Wonder influence his/her growth?
Amount of Admission Fee agreed
Amount of Monthly Fee agreed
Passport size colour photograph
On behalf of students as parents/guardians I have carefully read the information mentioned in the form and prospectus containing a school code of conduct academic regulation and finantial requirements.
I here by agree to abide by them and do my best to carry them out.
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