Sri Chaitanya Techno School
AfMliated to Central Board of Secondary Education - 1931291
APPLICATION FOR ADMISSION
School Code : Admission to Class Application No.
For the academic Year:
Syllabus:
For Office Use Only
Admission No
Reservation Category Date of Admission
Instructions :
All entries should be in the Parent's /Student's own handwriting (In English) and
he/she willbe responsible for any incorrect entry that is made.
Applications Which are incomplete in form or those that do not have relevant
certificate enclosed will be rejected.
The school reserves that right to cancel the admission of the student at any
stage, as and when it is detected that the admission is made against the rules.
1. Student FullName Surname
(in block letters as per Birth Certificate/T.C)
Name:
2. Gender Male Female
Aadhar No.:
3. Father's Name (in block letters) Mr.
4. Mother's Name (in block letters) Mrs.
5. Guardian's Name (in block letters) Mr. /Mrs.
6. Occupation a) Father
b)Mother
c) Guardian
a) Father
7. Income Per
Annum b) Mother
c) Guardian
8. Date of Birth Date Month Year
(as per the Birth In figures
Certificate / T.C) in words
9. ldentifiaction Marks 1
(as per Memo / T.C 2
10. Medical lssues:
(lf any)
11. Residential Address : 12. Office Address
Father Mother
Contact No. 1:
Contact No. 2
Email ld 1:
Email id 2:
Mothor Tongus
Religion
13. Nationality
14. Previous academic record:
Grade / % marks Result Health History
Name of the School Place
Class Syllabus Medium
Nursery
LK.G
U.K.G
Ito X
Division / Grade Syllabus Medium
15. a) Class Last Passed
b) Marks Secured
Gen. Total Percentage Result
Subject I-Lang II-Lang Eng. Maths Social
Science ()
Marks/
Grade
Scored
16. Previous School Derails:
a) Name of the School last Studied
b) Class Studied Last Syllabus Medium
c) Reason of Leaving
17. Proficiency in Extracurricular activities:
DECLARATION OF THE PARENT / GUARDIAN
Ihereby declare that the information given in this application are true and correct to the best of my knowledge and belief.
Iacknowledge that I am aware of the rules and regulations of the institution and agree to abide by them and admit my
ward in your school. Ishall undertake the responsibility of my ward's general conduct and good behaviour.
Date : Signature of the Parent / Guardian
ENCLOSURES (Certificates to be submitted at the time of admission)
1. Transfer Certificate of the qualifying exam - Original (Only of a Recognized School)
2. Study Certificate of the qualifying exam - (Xerox Copy)
3. Conduct Certificate at the qualifying exam - (Xerox Copy)
4. Migration Certificate (for CBSE Students only)- Original
5. Reservation/Caste/Community Certificate - (Xerox Copy)
6. Progress Report of previous Class - (Xerox Copy)
7. Three Colour Passport size photographs of students
8. Two stamp size Colour photos each of Father,Mother and Guardian
For location across Indian and other information please visit our website : www.srichaltanyaschool.net
