ADMISSION FORM

Name of the Student *: Student's Photo (upto 50 KB) *:

Father's / Mother's / Guardian's Name *:

Father's / Mother's Photo (upto 50 KB): Guardian Photo (upto 50 KB):

STUDENT INFORMATION :

Date of Birth (dd-mm-yyy)*: Gender *: MaleFemale

Blood Group: A+A-B+B-AB+AB-O+O-

Caste: SCSTBCOBCOTHER

RECORD OF PREVIOUS CLASS ATTENDED :

Grade: PRE-KGLKGUKGGrade IGrade IIGrade IIIGrade IVGrade VGrade VIGrade VIIGrade VIIIGrade IX Board: CBSEICSEIGCSEState Board Medium of Instruction: EnglishTamil

* Admission Required for Standard *: ---PRE-KGLKGUKGGrade IGrade IIGrade IIIGrade IVGrade VGrade VIGrade VIIGrade VIIIGrade IXGrade X

TRANSPORT DETAILS :

Transport required: YesNo
If yes kindly provide below details

Note : Route Name - Existing School Bus Route Name If Known

ADDRESS FOR COMMUNICATION * :

FAMILY DETAILS :

Father Details
*

Mother Details
*

Brother/Sister Details

Brother/Sister Details

OTHER EMERGENCY CONTACT DETAILS :

MEDICAL HISTORY (If any)

I, Certify that information furnished above is complete and correct to the best of my knowledge.