Admission Form XI

Admission Form

Name Of the Student * :

Date Of Birth * :

Sex * :

Male Female

Blood Group * :

Nationality * :

State * :

Mother Tongue * :

Religion / Caste * :

Community * :

Aadhar Number * :

Emis Number * :

Parents Details :

	FATHER	MOTHER
a) Name * :
b) Qualification * :
c) Occupation / Designation * :
d) Annual Income * :
e) Mobile Number * :
f) Mail Id * :

Mobile Number for Sms & Whatsapp :

Sms :

Whatsapp :

Residential Address & Pincode :

Whether School Bus / Hostel:

Guardian’s Name and Address:

Guardian’s Phone Number:

Class to which admission is sought :

Name of the school last attended :

Personal identification marks of the pupil:

Name and class of Brother / Sister of the pupil studying in this school :

Medium Instruction :

Subject to be Taken

a) Core Language :

b) Electives :

1) 2) 3) 4)

Number and Date of Transfer Certificate :

Number :

Date :

Certificate Attached

Birth Certificate *	Transfer Certificate *	Aadhar Card *

Community Certificate	Migration Certificate	MarkSheet

DECLARATION

I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief. I agree to work, study diligently and will adhere by the rules and regulations of the school in force and which may thereafter be framed. Further, I declare that I shall do nothing inside or outside the school that will interfere with its orderly government and discipline or cause any reflection of the reputation of the school. I agree to abide by the rules and regulations of the institution.