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No. 7, Indian Bank Colony, 4th main road, Ambattur,
Chennai – 60000.
1. Name of the Student *
2. a) Father's Name *
b) Mother's Name
3. Date of Birth * (DD/MM/YYYY)
4. Age
5. Sex *
6. Nationality
7. State *
8. Religion(this information is intended only for statistical purpose)
9. Does the candidate belong to Scheduled Caste or Scheduled Tribe or other socially and educationally Backward Classes specified in the Tamil Nadu Educational Rules or is he/she a convert from the Schedule Caste or the Scheduled Tribe?
If so, Please specify
10. a) Class and Name of the School last studied
b) Whether qualified for promotion
11. Class into which admission is sought *
12. Group choosen
13. Mother Tongue of the student
14. Language proposed to be taken as second language
15. Details of sister / brother already studying in this school
16. Address for communication *
17. Contact No. *
18. a) Name of the Parent
b) Occupation
c) Office Address
d) Office Telephone No.
19. a) Name of the Guardian
b) Occupation
c) Office Address
d) Office Telephone No.
20. a) Student Photo
b) Birth Certificate
c) Community Certificate
d) Transfer Certificate
e) Progress Report
f) Aadhaar Card
g) Ration Card
h) Income Certificate
i) EMIS No.
I hereby declare that the details given above are correct and that I will not ask for any change of particulars given against items 1 to 9 in the future.
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