Iqra International School

Keshabganj Chati, Purba Bardhaman-713104,WB, India

Mobile :9832164609/Phone: 7718785908 (WhatsApp)

Admission Form

Student Details

Name *

Gender *

Male Female

Blood Group

Date Of Birth *

Previous Class

Admission In Class *

Any Disability

Orphan / Non-Orphan *

Aadhaar Card No

Aadhaar Card

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Hostel Facility *

Yes No

Student Photo Upload

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Parent Details

Father's Name *

Father's Photo

Father's Ocupation

Father's Mobile No

Mother's Name *

Mother's Photo

Mother's Ocupation

Mother's Mobile No

Guardian's Name

Guardian's Photo

Relation With Guardian

Contact Details

Mobile No *

State *

District *

Block / Municipality *

Village / City *

Gram Panchayat *

Post Office *

Police Station *

Pin Code *

Bank Details

Bank Name

Branch Name

Account No

IFSC Code

PassbookUpload

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