Higher Secondary APPLICATION FOR SENIOR SECONDARY Admission to Standard : * XI XI XII Image Upload (jpg,jpeg,png) * Select Image Student's Name * Gender : male / female * Date of birth * Age * Place of Birth * District * State * Mother Tongue * Religion * Caste * Nationality * Blood Group * Permanent Bodily Mark * Whether belonging to SC/ST/OBC * — Select — Yes No Aadhar No: * Month and Year of Passing Qualifies Exam Name of the Board Exam Class X * — Select — ICSE CBSE State Scholastic Acheivement / Percentage in Class X Scholastic Acheivement / Percentage in Class XI Transfer Certificate Number and Date Streams and Combinations Science * — Select — Physics, Chemistry, Biology, Mathematics & English Physics, Chemistry, Mathematics, Computer Science & English Physics, Chemistry, Biology, Computer Science & English Second language — Select — Malayalam Hindi Whether the Applicant differently abled * If yes, specify Details of Institution studied earlier Name of Institution * Standard , year of Completion Reason for withdrwal of previous School Sports,games and other activities (any acheivements) Particulars of Family Father's Name * Age * Qualification * Occupation * Mother's Name * Age * Qualification * Occupation * Siblings Name 1. Age and Sex Siblings Name 2. Age and Sex Whether Studying If yes Class/Standard School College Residential Address * Telephone Number Residence * Mobile Number * Office Phone Number Email Address * Permanent Address * I, parent/guardian of the above mentioned student do hereby declare that the particulars in this form are true to the best of my knowledge and belief and also declare that the Name and the Date of Birth of my ward, given above , is correct as in the Transfer Certificate and that I will not apply in future for the correction of the Name and the Date of Birth I further undertake that my ward will abide all rules and regulations of discipline and conduct (which may be added, amended from time to time) of the school otherwise the Principal has right to detain, discipline or dismiss my child from the institution. I am solely responsible for my child and shall not seek any compensation from the management for any reason Place * Date * Name of Parent / Guardian (We will considered this as your authorized Signature) *
