Admission Form

Admission Form - Class A to Class 10

Admission Form - Class 11

Class 11

Attach Recent Passport size Black and white photograph 3 ½ cm x 4 ½ cm

(Marks secured in HSLC Examination)

L-1 Marks

L-1 Grade

L-2 / MIL Marks

L-2 / MIL Grade

Maths Marks

Maths Grade

Sc. Marks

Sc. Grade

S.Sc. Marks

S.Sc. Grade

6th subject Marks

6th subject Grade

1. Student's Name (As per HSLC Admit Card)

2. (a) Sex

(b) Nationality

3. Date of Birth (As per HSLC Admit Card)

4. Are you physically handicapped? (Yes/No)

Yes No

5. Institution last attended (Mention the District & State if you are migrating student)

6. Examination Passed

Year:

Division:

Percentage of marks:

7. Name of the Board

8. Class in which Admission sought

9. Details of Parents / Guardian

Father’s Name

Mother’s Name

Present Address

Occupation of Father (If in service, please specify)

of Mother

Mobile number of Father

of Mother

Local Guardian (Fill only if parent is not a resident of Dimapur)

Name

Address

Mobile No.

10. Subjects offered in Arts Stream:

Compulsory
1. English
Elective
1. Alternative English
2. Political Science
3. Sociology
4. History

e) Select one

Education Economics

Internally Assessed Subjects:
1. Environmental Education
2. Work and Art Education
3. Physical and Health Education

11. Boarders
Only authorized parents/guardians will be allowed to take their wards for outing on 2nd Saturday.

Name

Address & Phone No.

Name

Address & Phone No.

Name

Address & Phone No.

Signature of Parent / Local Guardian

Date

Signature of Student

13. Documents to be attached with application:

i. Marksheet

ii. Admit card

iii. Passport size Photo - 1 Copy (3 ½ cm x 4 ½ cm) (Black & White)

iv. Cumulative Record with T.C.

v. Transfer Certificate - Original (Only for Migrating student)

vi. Continuous and comprehensive Evaluation Book (CCE)

Admission Form – Class 11

Admission Form - Class A to Class 10

Admission Form - Class 11

ADMISSION FORM

Class 11

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