The Shanti Niketan&Medipulse

“Healthy Baby Contest”

Registration Form

Name

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Date of Birth

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Father’s Name

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Mobile No.

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School

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Class

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Address

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Participate in

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Photograph of the child.
birth certificate.
Vaccine Card
Contest will before upto 8yrs.
Free health Check-up upto 10yrs.
registration form’s print.
TSN’s school students will not be allowed to participate in the contest they can avail the free health check-up facility.