APPLICATION FOR ADMISSION TO SENIOR SECONDARY COURSE (CLASS XI)

1

 Name of the Applicant with initials
(in block letters)

2

 (a) Expansion of initials.

(b) Identification marks.


3 Male or Female

   

4 Name of Father /Mother
5

Name of guardian and his relation
to the applicant.

6

Occupation and address of
parent or guardian

7

Name, address & occupation of local guardian
(In case the applicant does not live with his/her guardian)

8

Place of birth – Town / Village / District.

9 a) Nationality b) Home State
10

Religion –
Caste, Community- SC/ST/OBC etc.
11 Name of the school last attended
12

Details of Qualifying Exam passed
(S.S.L.C.- C.B.S.E.Xth, I.C.S.E.etc.)
State the Year & month.

13 Number of Chances taken
14 Date of birth in figures and words
15 Age on date of application-
(In words-No.of Years & months completed)
16 Class to which admission is sought (In words).
17 Combination of subject chosen in order of preference.
(Enclose attested true copy of the Mark List)
1 Preference a.
b.
c.
d.
2 Preference a.
b.
c.
d.
3 Preference a.
b.
c.
d.
18 Core Language
19 Mother tongue of the applicant.
20 Address to which communications are to be sent.
21 Annual Income of the parent.
22 No. and date of Transfer Certificate produced.
23 Proficiency in sports/games and other extra-curricular activities. Details of testimonials,
if any.
 
Details of marks secured in S.S.L.C, C.B.S.E., Xth
>> Name of Exam passed
 

Subjects:

 
>> English
>>

Hindi/Malayalam(out of 50/100)

>>

History, Civics, Economics and Geography

>>

Physics, Chemistry, Biology and Mathematics
>>

Total

Declaration

I agree to abide by the rules of the discipline and other regulations enforced by the school authorities.

I solemnly declare that the above particulars are true and correct.
No request will be made for corrections in the date of birth furnished in column No. 14 of the application.

Place
        
Date

Instructions to the Applicants

 

The following combinations of subjects are offered for Senior Secondary Course (XI th Std.)

Core Language- English (Common to all)
Combination of subjects:
•  Physics, Chemistry, Mathematics, II Language.

•  Biology Chemistry, Physics, II Language.

•  Business Studies, Accountancy, Informatics Practices, II Language/Maths.

 

Incomplete applications will be rejected.

Applicants who are not likely to be considered for a particular group/combination of subjects of their 1 st choice, due to non availability of seats, are advised to ask for other groups/combinations indicating II and III preferences in column No. 17.

Requests for change of group/combination of subjects will not be entertained under normal circumstances.

Principal reserves the right to reject the application which do not conform to the rules and regulations of admission.

 

APPLICATION FORM FOR SCHOOL ADMISSION FROM CLASS I TO X

1

 Name of Pupil (Initial to be given at the end)

2

Identification marks.

3 Name of Father
4

Occupation and address of Parent

5

Name, address & occupation of local Guardian if any.
6

Schools previously attended with time in each

Name of School Std Date of admission Date of leaving
8

(a) Date of birth in figures &words
(b) Whether certified extract from the
      Register of Births produced.

(a)
(b)
9 Age on date of application
(In figures and words)
10

Religion
11 Nationality and state to which the pupil belongs
12

Does the candidate belong to the schedule castes or Scheduled Tribes or other backward communities or is a convert from other castes or Tribes

13

Standard to which admission is sought
(In words)

14 Mothertongue of the pupil
15

No. and date of transfer Certificate produced on admission

Declaration


I have read the rules of discipline of this school and undertake that my ward abide them

I solemnly declare that the above particulars are true and correct. The date of birth declared is correct and true. No request will be made for change of date of birth.

Place
        
Date