Student Name :
Class :
Gender :
BoyGirl
Date Of Birth:
Nationality :
Religion :
Mother Tongue :
Language Known To speak :
Indicative Category as per government schedule :
SCSTMBCBCOC
Address :
Tel No :
Mobile No :
Distance of Resident from school (approx):
Blood Group:
O positiveO negativeA positiveA negativeB positiveB negativeAB positiveAB negative
RH:
Allergy to drugs:
Medical aliments (if any):
Personal Identification Mark:
Vaccinated, if so when:
Contact Name:
Relationship to student:
Tel No:
Mobile No:
Name of school:
Standard :
Subjects taken :
Final Exam Marks (In percentage):
Promoted (Y/N):
YesNo
TC (Y/N):
Medium of instruction in previous school :
Second Language in previous school:
Third Language:
TamilHindiFrenchSanskrit.
Admission sought for (standard):
Any brother/sister studying in Same school:
Sibling Name:
School:
Class:
Name:
Specialization:
Spots ActivitiesMusic/ DanceArt& CraftOther specify
Res Tel No:
Email ID:
Educational Qualification:
Profession:
Organization:
Designation:
Annual Income:
Office Address :
Office Tel No:
We/I hereby declare that all the information furnished in this application form is true, correct and complete to the best of my knowledge.
