Online registration for Schools  Only
 

If you want to register your school for regular health check-ups ,  then kindly fill this form:-.

 

 
Name of the school:
Address :
Telephone:
Email:
Classes from ____to _____
No of Boys in the School :
No of Girls in the School :
Total No of Students in the School :
Name of the Contact Person/principal :
Residential Tel/ Mobile of Contact Person
Timings of School
Mode of payment Cheque Cash
Cheque details Cheque No, date and Bank Name
Subscription per child
Estimated Value of total subscription. (Multiply No of students into Rate of subscription)
Tentative Dates for Health Check-ups
Form submitted by (SHARP Coordinator)
Email of The person Submitting the Form
CITY