ADMISSION FORM (Senior Secondary) 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: Grade XGrade XI Board: CBSEICSEIGCSEState Board Medium of Instruction: EnglishTamil * Admission Required for Standard *: ---Grade XIGrade XII 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 : SELECT ANY ONE OF THE BELOW STREAM * Commerce Stream 1Commerce Stream 2 I, Certify that information furnished above is complete and correct to the best of my knowledge.