Application Form
Application Form for Classes PRE K G to X
( * ) Fields are Mandatory
*
Select the location
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VILLIANUR
MOOLAKKULAM
*
Name of the Student
*
Gender
Male
Female
Date of birth
Date
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
1
2
3
4
5
6
7
8
9
10
11
12
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
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Place
Country
*
Nationality and Religion
*
Languages Known
i.
ii.
iii.
Mother Tongue
*
Community
FC
BC
MBC
OC
*
Caste
*
Details of the previous Academic Information
Name of School
Place
Class last studied
Year
% of marks
*
Physical Standards
Height
Weight
Blood Group
cms
cms
Specific Information, if any
*
Any Handicap ?
Physical
Yes
No
Mental
Yes
No
Allergic to
*
Diet
Vegetarian
Non Vegetarian
Personal Information of Parents / Guardian and Family
*
Father Name
*
Occupation / Official Designation
*
Permanent Address
*
Phone
Present Address
Phone
*
Mother Name
*
Occupation
*
Official Designation
Business
Nature of Business
:
Place
:
Annual Turn Over (Rs.)
:
Guardian's Name
Address
Phone
*
Siblings
Brothers
:
Elder
Younger
Sisters
:
Elder
Younger
Name
Age
Educational Status
Name of the School
*
Whether Availing Bus Facility
Yes
No
Boarding Point
For NRI Students
*
Last Visit to INDIA and duration of stay
*
How many years you were in abroad
*
Have you been a student in INDIA before
Contact Details
*
Name of the Person
*
Email
*
Phone / Mobile
Declaration
:
I declare that all the particulars given in this application are true, correct and complete. I confirm that I have read the prospectus, understood the contents and agree to abide by the rules and regulations of the School. I declare that the school will not be liable for any damages or charges on account of injuries which may be caused or sustained by the ward during his / her in school while taking part in sports or other extra curricular activities of the school. I will not claim for any concession or exemption from any programme of the institution.
Are you agree to the above Declaration :
Yes I Agree
Security code
*
Type security code...
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