Admission Form-Class A to Class 10

Admission Form - Class A to Class 10

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

1. Full Name of Child (First)

(Surname)

2. Class in which Admission sought

3. School in which last read

Place

4. Class in which last read

Year

6. Exact Age at the time of Admission

7. Date of Birth

8. Tribe

Community

9. Religion

Denomination

10. Documents to be submitted

a) C.R. Book / Transfer Certificate

b) Birth Certificate

c) Last Progress Report

11. Any particular illness?

12. Father’s Name

Mother’s Name

13. Father’s Contact No.

Mother's Contact No.

14. Father’s Occupation

Mother's Occupation

15. Father’s Designation

Mother's Designation

16. Permanent Home Address

17. Whether admission sought for Hostel or School only

18. If Admission sought for Hostel

a) Name of the Local Guardian

b) Telephone Number

c) Address of the Local Guardian

d) Signature of the Local Guardian

Signature of Parent

Place

Date