Preschool Application Form

Admission sought in:
Branch:
Student's Information
Student Full Name:
Date of Birth:
Gender:
Parent's Information
Father/Gurdian's Name:
Mother's Name:
Relationship of student with guardian:
Father highest educational qualification:
Mother highest educational qualification:
Father occupation:
Mother occupation:
Father monthly income:
Mother monthly income:
Contact Information:
Residential Address(with pin code):
Permanent Address(with pin code):
Home Phone:
Home Mobile:
Work Phone:
Work Mobile:
Email Id:
Emergency contact(not parent) Person's Name & Phone:
More about your child
Previous schooling:
If yes, please specify?:
Has any of the child's kin attended BRIGHT MINDS before:
If yes, which branch:
Which year:
Other Information
Any Medical Problems or special needs:
Any kind of allergy?:
Declaration:
I declare that the information given is correct and complete and I have not withheld any information.
I agree to entrust my child under the care of the staff at BRIGHT MINDS.
I shall not hold BRIGHT MINDS responsible for any unavoidable mishap or accident.
I have read through the BRIGHT MINDS Preschool policies and am in agreement with the said policies.

Date: 26-Jul-2021
Upload Passport Size Photograph of child:
Parent/Guardian Name: