Choithram International Choithram Hospital Campus,5 Manik Bagh Road,Indore (M.P.) -452014 (India)

Ph: TEL: +91 731 2360345-46 Email: [email protected]

Registration Form : Academic Year 2024-2025

Please Read the Eligibility Criteria before filling the form.

1. Eligibility for admission for the session 2024-25 :- 2. Registration does not ensure Admission.
3. The registration form is likely to be rejected if any discrepancy is found.
4. Registration fee is non-refundable..
5. Fee Structure Click Here

Student Details

Gender:   Male         Female

Father's Detail

Last School Attended
1.
Last College / Institute Attended
1.

Mother's Detail

Last School Attended
1.
Last College / Institute Attended
1.

Residential Address

Please give particulars of brother/sister(real) if studying in Choithram International

Sr.No. Name Class Section Scholar No
1.
2.

Are you Alumni of Choithram International ?

1.Father
2. Mother

Other Details

1. Does your child have any physical disability ?
2. Does your child need any special attention ?

Upload Documents

Upload coloured photo of the Child(Maximum Size is 1MB and only jpg/jpeg/png file Allowed)
Upload Birth Certificate of the Child (Maximum Size is 1MB and only jpg/jpeg/png/pdf file Allowed)

Declaration

I hereby confirm that all the above information is correct. I also agree that Submission of application form does not imply confirmed admission.