2. Monthly Income :

Rs./-

3. Sibling:
(Real brother/sister only)

Sibling's Name (Studying at BCM):

4. School Alumni:

Year of Passing - Class

FATHER

MOTHER

5. Parents Qualification:
(Highest Qualification only)

FATHER :

MOTHER :

6. Parents Occupation:

FATHER

Occupation:

Designation:

Name & Address:
of organisation

MOTHER

Occupation:

Designation:

Name & Address:
of organisation

7. Single Parent:
(Tick one, only if applicable)

NO

8. Medical History:

1. Height : Cms

2. Weight : Kgs

3. Blood Group :

4. The child has been innoculated against:

5. Does your child suffer from bed wetting?

6. Does your child have any identified allergies?

7. Please give history of any serious illness of the child in the past

9. Child with Special Needs:
(Enclose authenticated documents)

10. Give the order of preference (1 to 6) for the following criteria you would look for in a school?

11. Area of Interest where parental contribution could enrich the school

12. Locality:

Distance from School: Kms.