CHARUPARA, KATTAKADA, THIRUVANANTHAPURAM,PIN: 695 572

Application for Admission to Std XI in AISSC
(Read this form carefully before filling up)

Subject Offered
SCIENCE
English , Physics , Chemistry, Mathematics(Compulsory)
(Any one, Specify) Biology Computer Science

Name of the Applicant (Block letters)

Sex
Male Female

Age (as on June 1st 2023)

Nationality

Date of Birth (Birth certificate or TC in original, Conduct certificate to be produced on Admission)

Father's Name and Permanent residential:

Address with Phone No.

Father's Qulification & Occupation

Office or business address with phone No

Mother's Name, Qulification & Occupation

Present Address of the Father/Guardian With Phone No

ls any direct brother of sister of the Applicant studying in this school, lf 'YES', Name, Std and Division

Caste, Religion with Denomination

Whether SC/ST/OBC Convert from SC/ST

Particulars of examination passed.

English

Second Language

Social Science

Mathematics

Science & Technology

Information & Technology

Aggregate

Whether the applicant passed in the first attempt : Yes No

lndex mark
Science Stream:

English

Mathernatics

Science & Technology

Average

Special claim for admission if any (Specify)

Rank Holder

Yes No

Malankara Syrian Catholic

Yes No

Malabar Syrian Catholic

Yes No

Latin Catholic

Yes No

Christian - Name of the Denomination

Yes No

Mode of conveyance

lf by school Bus No and bording point

Two visible bodily marks for identification