VISWADEEPTHI ENGLISH MEDIUM SCHOOL

CHARUPARA, KATTAKADA, THIRUVANANTHAPURAM

PIN: 695 572

Fill in all sections clearly and carefully in BLOCK LETTERS

INCOMPLETE FORM WILL BE REJECTED

PERSONAL DETAILS

Name of the Pupil

Date of birth (in Christian Era)

Age at the time of admission in the present School

Aadhar number

Caste and Religion

Nationality

Photo(passport size - Max size:200kb)

FAMILY DETAILS

Father's Name

Qualification

Occupation

Designation

Permanent Home Address:

Office Address:

Monthly Income

Phone

Fax

Mother's Details

Mother's Name

Qualification

Occupation

Designation

Permanent Home Address:

Office Address:

Monthly Income

Phone

Fax

Res.Phone

Mobile Phone

Other Details

Identification marks (I)

Identification marks (II)

Name of the last School attended

Class in which studying

Name of the board CBSE, ICSE or State

Medium of Institution

Recognised School/ Unrecognised School

Result of last Exam

Percentage of last Exam

Class to which admission is sought

Whether a Transfer Certificate is attached:

No. and date of Trasfer Certificate

Mother Tongue

Home Town

Whether the student belongs to Scheduled Caste or Scheduled Tribe or OBC