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Photo
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Name.............................………………………….
Class ………………….Sec…………………………… |
Admn No. |
Exam No. |
Data of Birth |
Height Cms |
Weight Kgs |
Blood Group |
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Father’s/Guardian’s Name and Occupation |
Mother’s Name and Occupation |
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Residential Address:
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E-mail |
Fax: |
Phone: |
Father’s/Guardian’s Office Address
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E-mail |
Fax: |
Phone: |
Extn: |
Mother’s Office Address
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E-mail |
Fax: |
Phone: |
Extn: |
Marks of Identification |
1. |
2. |
Brothers/sisters studying in this school |
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Name
1. |
Class |
2. |
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3. |
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Signature |
Father |
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Signature of the Teacher |
Mother |
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Download Proforma Forms
ADMISSION FORM
1 |
Name of the pupll:
(in Block Letters)With Initials |
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2 |
Expansion of the
Initials |
First Initial |
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Second Initials |
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3 |
Sex |
Male/Female |
4 |
Date of Birth: |
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5 |
- Religion:
- Nationality:
- State:
(This information is required only for Statistical purpose) |
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6 |
Does the Candidate belong to Scheduled Caste /
Scheduled Tribe or other socially Back Ward Classes
(as specified in the Tamilnadu Govt. rules) or is she / he a convert from the Scheduled Caste / Scheduled Tribe? |
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- Name of the parents: (Father & Mother)
- Occupation(pl. specify) :(Father & Mother)
- Address:
- Residential & Phone No:
- Official & Phone No:
- Income per Month:
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8 |
(if living with the Guardian)
- Name of the Guardian:
- Occupation:
- Address:
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9 |
Mother Tongue: |
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10 |
- Class last studied & year:
- Name of the School
- Whether qualified for promotion:
- Class to which admission is sought:
- Whether the School last studied is reconsider by the Govt. of Tamilnadu | C.B.S.E | Matriculation Board , NOT TRANSFERABLE.
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Promoted / Detained |
11 |
(For “Private Study” only for admission to stds 1 to VI)
- Class to which admission is sought:
- Whether Private tutor Certificate is enclosed:
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12 |
Whether Vaccinated for small pox: |
Bangalore |
13 |
Language proposed to be taken under Second Language: |
Tamil / Hindi / Sanskrit |
Declaration by the Parent
1. I declare that the information given above are true to the best of my knowledge.
2. I declare that I will not seek for any change in the date of Birth/Community in future under any circumstances.
Station: Signature of the Parent
Date:
NOTE: At the time of admission duly attested Photo copies of the following certificates should be submitted without fail (Original should be shown to the Officer for Verification)
(i) Birth Certificate : (Photo copy to be enclosed) (iii) Transfer Certificate :(Original)
(ii) Community Certificate: (Photo copy to be enclosed) (iv) Tutor Certificate :(Original)
Admission given to ………………………Standard Signature of the Principal
For Office Use Only
Whether the following certificates are received:
1. Brith Certificate : Yes/No
2. Community Certificate : Yes/No
3. Transfer Certificate : Yes/No
4. Tutor Certificate : Yes/No
(if applicable)
5.Is the T.C from a recog.: Yes/No
Institution
Admission is given to ………………..Standard
Signature of Office Staff
Date :
Download Admission Forms
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