Guru Tegh Bahadur Punjabi School

Admission Form For Punjabi School.

Personal Details:
First Name (required)

Sur Name (required)

Gender (required)
MaleFemale
Date of birth (required)

Permanent Address:

Your Email (required)

Mobile (required)

Mother Name (required)

Father Name (required)

Days attending: (required)

Level of Punjabi:

Disability/Learning Difficulty:

Do you consider yourself to have a disability and/or learning difficulty?
YesNo

If yes then please specify: (required)

Health Problem/Allergy:

Do you consider yourself to have a health problem and/or allergy?
YesNo

If yes then please specify: (required)

Schools
Please give the name of the last school or college you attended or are still attending:

Photos:
I give permission to Punjabi school to take photos and upload onto the website/other
media:
YesNo

Emergency Contact:
Name of emergency contact:

Mobile:

Relation:

Declaration:
I believe that the information contained on this admission form is correct and to the best of
my knowledge
Photo

Signature