Online Registration, School in Viluppuram, Matric School In Viluppuram

A Launching Pad to Reach Heights

Application Form

(XI & XII)

Standard in which admission is now sought *

A. STUDENT INFORMATION

Name of the Student *

Gender *

Date Of Birth *

Calculate age

Age *

Blood Group

Religion *

Nationality *

Aadhaar No

EMIS No

Identification Marks

Community *

Mother Tongue *

Languages Known *

Residential Address

Address *

Town / Village *

Father’s Mobile No *

Email ID

Permanent Address

Same Address

Address *

Town / Village *

Mother’s Mobile No

Distance from School (in Kms)

Preferred Smart Phone Numbers for Communication *

Emergency Contact No *

Name of the person to Contact *

Relationship *

B. DETAILS OF PREVIOUS STUDY

Year	School	Standard	Grade / Marks obtained in final exams



Previous school affiliated to

C.FAMILY INFORMATION

Father / Guardian:

Name *

Age *

Educational Qualification

Occupation

Designation

Institution

Annual Income *

Aadhaar No

Mother / Guardian:

Name *

Age *

Educational Qualification

Occupation

Designation

Institution

Annual Income

Aadhaar No

D.GROUP AND LANGUAGE SELECTION

Language Preferred *

Group to join *

GROUP – A1	GROUP – A2	GROUP – A3	GROUP – A4
Economics Commerce Accountancy Computer Applications	Maths Physics Chemistry Computer Science	Economics Commerce Accountancy Business Maths	Maths Physics Chemistry Biology

DECLARATION *

I/We do here by undertake that the information provided by me/ us is true and correct to the best of my knowledge. Further I/We promise to abide by the rules and regulations set by the school management and I/We promise to pay the required fees on behalf of my/our ward whenever asked by the School Authority.