This student form collects personal information such as name, class, date of birth, contact details, and parental details. One form is required per student and can be photocopied. The completed form along with a nomination form should be couriered to the specified address for Educational Initiatives Pvt. Ltd.

1. STUDENT FORM
One form per student needs to be filled. Forms can be photocopied and used.
*Student’s Name :
*Class :
*Email Id :
*Date of Birth (dd/mm/yy) :
*Residential Address :
*Contact Number :
* Father’s Name :
*Occupation :
*Father’s Email Id :
*Father’s Contact Number :
*Mother’s Name :
Occupation :
Mother’s Email Id :
Mother’s Contact Number :
Notes
* marked fields are mandatory
Please send this form by courier (along with the Nomination form) to:
Educational Initiatives Pvt. Ltd. 302, JB Towers, Opp. Doordarshan Tower Drive-in Road,
Ahmedabad 380054 Gujarat
Tel: (91) 79 40269696, Email : assetambassador@ei-india.com