Ramaniyam Sankara Matriculation Higher Secondary School

Serial No. :

Admission No. :

EMIS No. :

Year :

Date :

APPLICATION FOR ADMISSION TO HIGHER SECONDARY COURSE

Name of the Pupil in English with initials (in Capital Letter as in the Certificate (SSLC) : *

Date of Birth :*

Age : *

Sex : *

Nationality : *

Religion : *

Community : *

Category : *

Place of Birth : *

	Name	Qualification	Occupation	Monthly Income
Father
Mother
Guardian

Residential Address Father / Mother / Guardian : *

Phone No : *

Mobile No : *

Medium of Instruction at High school Level : *

Standard to which admission is sought :*

Details of Previous School :

S.No	Std	Name of the School

Marks obtained in Standard - X Public Examination :

Subject	Max. Marks	Public Exam
Tamil	100
English	100
Maths	100
Science	100
Social	100
Total	500

The following are the combinations offered. Please indicate your First (I) and Second (II) Choice.

Group I - code No. (2502) Physics, Chemistry, Maths, Computer Science

Group II - code No. (2503) Physics, Chemistry, Maths, Biology

Group III - code No. (2702) Commerce, Accountancy, Economics, Computer Application

Group IV - code No. (2708) Commerce, Accountancy, Economics, Business Maths

Personal Marks of Identification :

( A )

( B )

DECLARATION

I hereby declare that the particulars given above are correct and that I will abide by the rules of the school. I am aware that admission obtained through false information or by suppression of facts will be cancelled on detection at any time.

Place :

Date :

Signature of the Student :

Signature of the Parent / Guardian :

FOR OFFICE USE ONLY

Admitted in Group :

Subjects :

Section :

Date of Admission :

Admission No :

Application Form 11 STD

APPLICATION FOR ADMISSION TO HIGHER SECONDARY COURSE

DECLARATION

FOR OFFICE USE ONLY