Indian Learners Own Academy
Admission Form:
Note: Fill the data according to child's passport details.
Student's Full Name
*
:
Father's Full Name
*
:
Mother's Full Name
*
:
Seeking Admission in Class
*
:
Gender
*
:
--Select--
Male
Female
Upload Photo
*
:
(allow jpg,jpeg,png,gif,bmp and size< 5 MB)
Date of Birth
*
(as on the passport)
:
Place of Birth
:
Student's Nationality
*
:
Religion
*
:
Blood Group
*
:
--Select--
A+
A-
B+
B-
AB+
AB-
O+
O-
Mother Tongue
:
Child's Details
Passport No.
*
:
Passport Place of Issue
*
:
Passport Date of Issue
*
:
Passport Date of Expiry
*
:
Civil ID No.
*
:
Civil ID Date of Expiry
*
:
Previous School Attended
:
Previous School Attended till which Class
:
Medium of Previous Class
:
Specify Child's illness
(if any)
:
Date
(Child Entered Kuwait)
*
:
Father's / Guardian's Details
Mother's Details
Profession
:
Profession
:
Nationality
:
Nationality
:
Language Spoken
:
Language Spoken
:
E-mail ID
*
:
E-mail ID
:
Office Address
:
Office Address
:
Mobile No.
*
:
Mobile No.
:
Tel.No.
*
:
Tel.No.
:
Passport No.
*
:
Passport No.
:
Passport Date of Issue
:
Passport Date of Issue
:
Passport Place of Issue
:
Passport Place of Issue
:
Passport Date of Expiry
:
Passport Date of Expiry
:
Civil ID No.
*
:
Civil ID No.
:
Civil ID Date of Expiry
:
Civil ID Date of Expiry
:
Family Income Per Month K.D
*
:
Home Address
Building No. :
Flat No. :
Block No. :
Street No. :
Floor No. :
City :
Country :
Zip Code :
I, the father/ Guardian of the student, state solemnly that all the facts & information given above are true.
Date
:
No Pre registration open class's found
