Select Class:
First name Middle name (Optional)
Last name Gender
Birth date
Place of Birth
Nationality Country of Birth
Religion Caste
Mother tongue Landline (with STD code) (Max 15 chars)
Mobile no. for SMS contact (10 digits) Area of residence (Max 50 chars)
PIN code (6 digits) Local Pune Address (Max 150 Chars)
Father's email Mother's Email
Note: Gmail/ Yahoo/ Hotmail email addresses are preferred, as corporate server/ firewalls rejects attachments.Registered Mobile number will receive all SMS notifications from the school.
Does your child have any sibling in this school? : (Optional)
Sibling name (Max 40 Chars) Std (Max 10 Chars)
Sibling name (Max 40 Chars) Std (Max 10 Chars)
Parent / Guardian information :
Father      
Full name (Max 40 Chars) Age (2 Digits only) years
Educational Qualification (Max 20 Chars) Profession /Occupation
Medium (English/Marathi/other) Office Phone (Max 15 Chars)
Mobile no (10 Digits) Office address (Max 150 Chars)
Work Profile (Max 150 Chars)
Mother  
Full name (Max 40 Chars) Age (2 Digits only) years
Educational Qualification (Max 20 Chars) Profession /Occupation
Medium (English/Marathi/other) Office Phone (Max 15 Chars)
Mobile no (10 Digits) Office address (Max 150 Chars)
Work Profile (Max 150 Chars)
Approx Annual Family income (Max 20 Chars)
Medical information :
Blood Group (Max 10 Chars) Allergies (Max 20 Chars)
Disability (if any) (Max 20 Chars) Learning Disability (if any) (Max 20 Chars)
Doctor's Name (Max 30 Chars) Doctor's contact no. (Max 20 Chars)
Emergency / Local guradian contact details :
Contact name (Max 20 Chars)    
Contact no (Max 20 Chars) Relation to child (Max 20 Chars)
Why do you want your child to be admitted to St. Mira's School? (Max 150 Chars)
I hereby declare that all the above information is correct, and I abide by the above given instructions.