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Enquiry Form Digital
* Indicates required question
Email
*
Record my email address with my response
Name of the child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender of the child
*
Choose
Male
Female
LOCALITY
*
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PANCHKULA
PEER MUCHALLA
ZIRAKPUR
DHAKOLI
BALTANA
OTHERS
Parent Name
*
Your answer
Parent Mobile Number (Whatsapp number)
*
Your answer
How did you get to know about the school
Outdoor Boards
Hoardings
FB/Instagram
Google search
Friends/Word of mouth
Newspaper
Does your child have any special needs
*
N.A.
Speech delay
Delayed milestones
Behavioural disorder
Autism spectrum disorder
If any other - please specify
Required
Please specify If any other special needs
Your answer
Undertaking
*
Information given in the form is true to the best of my knowledge.
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