REGISTRATION FORM FOR ADMISSION 2021-22
CLASS : XI

STUDENT PROFILE

Name:(should be as per the Birth Certificate):*
Sex: *
Male Female
Date of Birth(should be as per the Birth Certificate):*
    Date of Birth In words:

SUBJECT COMBINATIONS FOR CLASS XI*

Science Stream Commerce Stream
1)   2)   3)   4)   5)  
English(Core)
Physics
Chemistry
Mathematics
Biology
English(core)
Physics
Chemistry
Mathematics
Computer Science
English(Core)
Physics
Chemistry
Biology
Malayalam
English(Core)
Accountancy
Business Studies
Economics
Mathematics
English(Core)
Accountancy
Business Studies
Economics
Malayalam
Option of stream in Class XI-Preference I:*
Option of stream in Class XI-Preference II:*
Option of stream in Class XI-Preference III:*
Nationality:*
Religion:*
Caste/Community:*
Category (General/SC/ST/OBC/OEC/Others):*
Mother Tongue:*
Aadhaar No:*
 

School previously attended*

School Name:
Year of Passing & Register No.:
Syllabus (SSLC/ CBSE / ICSE):*




Enter Marks & Grades Obtained in Class IX and X:

Have you completed IX and X in Naipunya?:*
Yes No
(Not required for the students of Naipunya)



Exam English Malayalam/Hindi Mathematics Science Social Science overall Grade Percentage
Mark Grade Mark Grade Mark Grade Mark Grade Mark Grade
X(Model 2020-2021)
IX(Annual 2019-2020)

Transfer Certificate No.:*
Transfer Certificate Date:*
Achievements (if any) :
Is there evidence of any learning disability?*
Yes No
Any medical/physical problem that could affect normal school life?*
Yes No
Family Doctor/hospital:
Blood Group:*

FAMILY PROFILE

Father* Mother* Guardian
Name
Nationality
Edu. Qualification
Occupation
Office Address
Annual Income
Mobile No.
Email Id
SMS Receiving Mobile No.*
PRESENT ADDRESS* PERMANENT ADDRESS*
Address:
Place:
Post Office:
Pin code:
Telephone No:
Address:
Place:
Post Office:
Pin code:
Telephone No:
Same as present address
Names of brothers and sisters if any
studying in this school
Class
1.
2.
Boarding Point (if school bus facility is required):

Details of Registration Fee paid:

DD No.:*
DD Date:*
Bank Name:*

I * solemnly declare that the above particulars about my child are true to the best of my knowledge and correct. I shall abide by the rules and regulations of the school and agree that I shall remit the fees in time.

NB:Successful applicants will be contacted by the school within two weeks for an online/offline interview to complete the admission procedure.