Form No:
Date:
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--Month--
January
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May
June
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September
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November
December
--Year--
1989
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St. Andrew’s High School
-
ADMISSION FORM
PHOTO
Childs First Name: (Eg: Rahul)
Childs Surname:
Fathers Name (First Name):
Mothers Name (First Name):
Admission Sought in Standard:
NURSERY
J.K.G.
S.K.G.
Date of Birth:
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7
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28
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31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Age as on 1-April-2016
Birth Certificate No:
Place of Birth (City):
Birth Country:
India
If Other, please specify
Birth State:
Birth District:
Birth Taluka:
Nationality:
Indian
If Other, please specify
Religion:
Caste:
Sub-Caste
Category:
Mother Tounge:
Language Spoken at Home:
Blood Group:
Dont Know
O+
O–
A+
A–
B+
B-
AB+
AB-
Fathers Mobile No.:
Mothers Mobile No.:
SMS Contact No:
Identification Mark on Child 1:
Identification Mark on Child 2:
Is the Child Staying in Hostel:
Yes
No
Is the Child CWSN (Disabled):
Yes
No
Students Aadhar Card Enrolment No.(EID).:
Students Aadhar Card Unique Identification No (UID).:
Whether Admission through RTE 25%
Yes
No
Whether Below Poverty Line(BPL):
Yes
No
Gender:
Male
Female
Ration Card No.:
Whether English Spoken at Home:
Yes
No
Joint Yearly Income of Parents:
Name of Other Children if any 1:
Date of Birth:
--Day--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
School Name if School going:
Class / Std:
Name of Other Children if any 2:
Date of Birth:
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1
2
3
4
5
6
7
8
9
10
11
12
13
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16
17
18
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20
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23
24
25
26
27
28
29
30
31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
School Name if School going:
Class / Std:
Name of Other Children if any 3:
Date of Birth:
--Day--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
School Name if School going:
Class / Std:
Fathers Name in Full (Surname / Name / Father Name):
Fathers Qualification-B.A/B.COM etc
Fathers Occupation-Private/Govt etc
Nature and Details of Fathers Occupation:
Fathers School Name:
Fathers School Medium (English / Marathi):
Fathers College Name
Fathers Office Address:
Fathers Office Phone No:
Fathers Date of Birth:
--Day--
1
2
3
4
5
6
7
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9
10
11
12
13
14
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Fathers Religion
Whether Father Alive:
Yes
No
Dont Know
Mothers Name in Full (Surname / Name / Father Name):
Mothers Qualification-B.A/B.COM etc
Mothers Occupation-Private/Govt etc
Nature and Details of Mothers Occupation:
Mothers School Name:
Mothers School Medium (English / Marathi):
Mothers College Name
Mothers Office Address:
Mothers Office Phone No:
Mothers Date of Birth:
--Day--
1
2
3
4
5
6
7
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9
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Year--
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Mothers Religion
Whether Mothers Alive:
Yes
No
Dont Know
Residential Address:
Permenant Address:
Address of Native Place:
Guardians Name:
Guardians Phone No.:
Guardians Relation to Child:
Guardians Qualification:
Guardians Occupation
Guardians Yearly Income:
Guardians Home Address:
Guardians Office Adrdess:
Name of Childs Previous School if any:
Whether he/she was promoted to the higher standard last year:
Yes
No
Percentage / Rank Grade obtained:
Whether Mark list for the last annual examination is attached:
Yes
No
Whether Leaving Certificate Attached:
Yes
No
Whether Birth Certificate Attached:
Yes
No
Qualification Examination Passed:
Yes
No
T.C. No. and Date:
School Fees Installments: -
1 Std
10 Std
2 Std
3 and 4 Std
5 Std
6 to 8 Std
9 Std
LKG Fees
UKG Fees
Transport Fees Installments: -
Email ID: -