Habits Academy

Name(as per Birth Certificate) *

Class to with admision is sought

Age *

Date of Birth *

Aadhar No. *

Nationality *

State *

Place Of Birth *

Gender*

Mother Tongue

Blood Group*

Previous Class

Academic Year

TC No

Permanent Address

Address For Communication

Any allergies or medical conditions? (if yes, please specify)

Current medications (if any)

Emergency Contacts (Other than Parents)

I hereby declare that all the information provided is true and correct...

Admission