APPLICATION FORM (XI-XII)

Email ID *

Applicant Name *

Date of Birth *

Age

Gender

Male Female

Place of Birth

Nationality

Religion

Photo of the Applicant* (Allow only jpg/jpeg)

Community

Identification Marks 1

Identification Marks 2

Admission sought to which class

Academic Year 1

Academic Year 2

PARENTS PARTICULARS

Father

Mother

Father Educational Qualification

Mother Educational Qualification

Father Occupation

Mother Occupation

Father Annual Income

Mother Annual Income

Father Self Named Latest Photo (Allow only jpg/jpeg)

Mother Self Named Latest Photo (Allow only jpg/jpeg)

ADDRESS FOR COMMUNICATION

Residential Address

Residential Phone Number

Office Address

OTHER PARTICULARS (Students who seeks admission in the middle of the academic year / or in standard, Please answer the following)

School previously attended

Reason for leaving the previous school

Date of Leaving

Standard Completed (PASS/FAIL)

Pass Fail

Board of Education

Medium of Education

Admission sought to class

Language chosen under part – II

Others specify

HIGH SCHOOL EDUCATION DETAILS (Students who seeks admission to XI Standard, Please answer the following)

Total Marks scored in X Standard:

Out Of

Percentage of Marks scored in X Std:

Marks scored in individual subjects:

Subject Names

Scored Out Of 100

Admission sought to Group

DECLARATION

I / We do hereby confirm that the above mentioned details are true to my / our knowledge.