KIDS CAMPUS EDUCATION PRIVATE LIMITED Flat No 1b, Premiere Rabbi, 6th Cross, 100ft Inner Ring Road Koramangala, Bangalore-47. Karnataka, India. Ph: +91 80 6546 4454, +91 80 6546 4453 PRE-SCHOOL APPLICATION Name of Child* : Nick Name(if any) : Sex* : DOB * : Childs Home Address* : Country* : IndiaAustraliaNew ZealandUnited StatesUnited KingdomJapanAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAlgeriaAndorraAngolaArgentinaArubaAustriaBahamasBahrainBBangladeshBarbadosBelgiumBelizeBermudaBhutanBoliviaBotswanaBrazilBruneiBulgariaBurundiCambodiaCanadaCape VerdeCayman IslandsCentral African RepublicChileChinaColombiaComorosCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominican RepublicNetherlandsEcuadorEgyptEl SalvadorEstoniaEthiopiaFalkland IslandsFijiFinlandFranceGambiaGermanyGhanaGibraltarGreeceGuatemalaGuineaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJordanKazakhstanKenyaKuwaitLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaltaMauritaniaMauritiusMexicoMongoliaMoroccoMozambiqueMyanmarNetherlands AntillesNamibiaNepalNicaraguaNigeriaNorth KoreaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaSamoaSao Tome/PrincipeSaudi ArabiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSaint HelenaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTanzaniaThailandTongaTrinidad/TobagoTunisiaTurkeyUgandaUkraineUruguayUnited Arab EmiratesVanuatuVenezuelaVietnamZambiaZimbabwe state* : Andaman & Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhatisgarhDadra & Nagar HaveliDaman & DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu & KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPondicherryPunjabRajasthanSikkimTamil NaduTripuraUttar PradeshUttaranchalWest Bengal city* : location*: home phone* : Email* : Father's Name* : Occupation* : Mobile / Work Phone* : Mother's Name* : Occupation : Mobile / Work Phone: Father’s Edl. Qln* : Mother’s Edl. Qln : Mother Tongue* : Why would you like your child to attend our pre-school?* Please list all the peoples, excluding parents, who in your child's home: Name : Relationship : age : Name : Relationship : age : Name : Relationship : age : Date* : Place : Required Enclosure: 1. Birth Certificate (Xerox) 2. Doctor’s Certificate 3. Stamp Size Photographs-8 Nos