Admissions 2023-24 | PICT Model School

Child Details:

First Name *

Middle Name (if any):

Last Name *

Date of Birth *

Gender *

Seeking Admission *

Current Grade *

Current School *

Current Board *

Parent/Guardian Details:

Please select parent/guardian whose details you will be comfortable in providing.
Note: Same will be used for any future correspondence.

Father Details:

First Name *

Middle Name (if any):

Last Name *

Email *

Phone *

+91

ID Type *

ID Number *

Mother Details:

First Name *

Middle Name (if any):

Last Name *

Email *

Phone *

+91

ID Type *

ID Number *

Guardian Details:

First Name *

Middle Name (if any):

Last Name *

Email ID*

Phone *

+91

ID Type *

ID Number *

Relation with Child *

Reason for not providing any parental details:

Admission Enquiry Form 2023-24