Name of the parent

Kindly enter the details of child/children seeking admission below:

Name of the child

Gender

Male Female

Date of Birth

Name of the school the child is currently studying in *

Name of the child (Second child - if applicable)

Gender (Second child - if applicable)

Male Female

Date of Birth (Second child - if applicable)

Name of the school the child is currently studying in (Second child - if applicable)

Contact Address

Contact number

Valid email address

For all queries,

Write to:

silverrocks@chempaka.org

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