Application form for Admission, FATHIMA MATHA Higher Secondary School

FATHIMA MATHA HIGHER SECONDARY SCHOOL, TIRUR-7
English Medium (Recognized)
APPLICATION FORM FOR ADMISSION

1. Name of Pupil in capital letters

Name of the pupil Initials to be given at the end

1 (a) Sex

MALE FEMALE

2. Name of the parent or guardian

Name of the parent or guardian

2(a). Relationship

Relatiuonship to the pupil

3. Marks of identification

Marks of identification

4. Name , occupation, address of parent or guardian and phone number

Name ,occupation and address of parent or guardian,phone number

5. Name of mother, occupation ,address, phone number

Name of mother, occupation,address,phone number

6. School previously attended (Name of School)

6(a) Standard

Standard

6(b) Date of leaving

Date of leaving

6(c). Date of Admission

Date of admission

7. Date of Birth

Whether DC TC Produceed

Yes No Whether certified extract from register or birth declaratiin form from the parent of transfer certificate has been produced

7 (a) DOB (in words)

8. Age of date of application in words

Age of date of application in words (no of years completed months should be given)

9. Religion and caste

10. Nationality and State

Nationality and State

11. Does the candidate belong to the SC/ST/OBC OR or convert form SC/ST

12. Standard to which admission is sought (in words)

Standard to which admission id sought (in words)

13. Medium of Instruction

Medium of Instruction

14.Mother tounge of the pupil

Mother language of the pupil

15. First Language

First Language

16. No and date of Transfer certificate produced on admission

17. Whether Immunised

YES NO

18. Aadhaar No

Place

Date of Submission

Sender Name

Email ID

DECLARATION
Ihave read the rules and regulations of the school and do hereby promise that I will abide by the rules and regulations of the school time to time . I solemnly declare that the above particulars of my son/daughter ......................... are true and correct

Attachement if any

Place