Kachhwa Christian School
Kachhwa Christian School
Enquiry Form
: 919935924760
: principal.kcs2020@gmail.com
: Kachhwa, Mirzapur 231501
Note: All '
*
' marked fields are mandatory. Please mention '
NA
' if not applicable.
Student First Name
*
Enter First Name
Student Last Name
*
Enter Last Name
Academic Year / Session Year
*
*
Class
*
Fill Class
-- Select Class --
Nursery
LKG
UKG
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10
11
12
Mother's Name
*
Enter Mother's Name
Father's Name
*
Enter Father's Name
DOB (dd/mm/yyyy)
Email ID
*
Enter Email
Invalid email address
Mobile No.
*
Enter Mobile No
Phone No.
Aadhar No.
*
Enter Aadhar No
Gender
*
Select Gender
--Select--
Male
FeMale
Address
*
Enter Address
State
City
Pin
Remarks
Reference
*
Enter/Select References
PEN (Permanent Education Number)