Contact Info
Phone

+91 8582 911 721
+91 6290 020 709
+91 9088 449 952

Rajarhat Centre

Bhatenda, Daspara, Beside Sabuj Sangh Club, Kolkata – 700135

Mall Road Centre

3/1, East Mall Road, Kolkata – 700080
Near Mall Road Post Office

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Admission Admission
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Admission

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Admission Form

    Child’s Primary Information

    First Name*

    Surname*

    Name Used at Home

    Gender*

    Nationality*

    Date of Birth*

    Age (Years)

    Months

    Days

    Grade Applying For*

    Child’s Additional Information

    Previous Schooling*

    If Yes, Specify

    Medical Record

    Blood Group

    Allergy (if any)

    Are all the relevant vaccinations taken?

    Is the child presently on any regular medication?

    If yes, please specify

    Any special instructions

    In case you are unavailable during an emergency, please provide an alternate contact person.

    Name (Other than parent)

    Mobile

    Parent’s Information

    I) Father / Guardian

    Name*

    Educational Qualification

    Occupation

    If Other, Specify

    Name of Organisation

    Mobile*

    Office

    Email Address*

    II) Mother

    Name*

    Educational Qualification

    Occupation

    If Other, Specify

    Name of Organisation

    Mobile*

    Office

    Email Address*

    For communication, select who should receive SMS / Call / Email:

    Residential Address

    Address*

    Landmark

    Town / City*

    State*

    Pin Code*

    Declaration

    I declare that the information provided is correct and complete, and that I have not withheld any information.

    I agree to entrust my child to the care of the staff at Dino Little Pre-School. I shall not hold Dino Little Pre-School responsible for any unavoidable mishap or accident.

    I am aware that the fees once paid are NON-TRANSFERABLE and NON-REFUNDABLE under any circumstances.

    By signing this form, I agree to receive promotional SMS and other communications related to my Dino Little Centre.

    I have read the Dino Little Pre-School policies and agree to abide by them.

    Parent Name*

    Date*