Sacred Heart Matriculation Higher Secondary School

Academic year 2022 - 2023

Email : sacredheartmhsspadi@gmail.Com

Phone : +91 44 2624 6635

Fill in all sections clearly and carefully in BLOCK LETTERS

INCOMPLETE FORM WILL BE REJECTED

PERSONAL DETAILS

Name Of The Pupil

Gender
Male Female

Date Of Birth

Place of birth

Completed Age in Years and months as per 31st March 2021

Mother tongue

Nationality

Class into which admission is Sought

State

pre-school attended

Photo(passport size - Max size:200kb)

Is your ward interested in
Sports Dance Story telling Music

FAMILY DETAILS

Father's Name

Qualification

Occupation

Designation

Office Address:

Monthly Income

Office Phone

Fax

Mother's Details

Mother's Name

Qualification

Occupation

Designation

Office Address:

Monthly Income

Office Phone

Fax

Parents Recidential Address (for correspondence):

Res.Phone

Mobile Phone

RELIGION

Religion

If Christian (Mention RC/CSI/CNI/OTHERS

Name of the Church

Community (SC/BC/MBC/OC/Others)

If living with Guardian,please furnish details below

Guardian Name

Occupation

Designation

Phone Number

Address:

Mar Gregorious Background

Whether parents are Mar gregorians or Sacred Heartian

If yes,Name

Year Studied

Course

Medical Details

(The School Authorities must have Knowledge,if any)

personal Identifacion marks

Blood Group

Does your ward suffer from any chronic illness

Does your ward have special needs (learning or physical disabilities)

Name of your family doctor

Phone Number

Address

DECLARATION BY PARENT/GUARDIAN

I certify that the information of this form and the documentation supporting it, is correct and complete. I acknowledge that provision of incorrect information or documentation or with holding of information or documentation, relating to my daughter's / son's application, may result in the cancellation of admission. (I agree to comply with the Rules and Regulations of the School and co-operate with school authorities

Parent Name *

Date *

Day / Month / Year *

NOTE

Application form must be submitted in original (Photostat or type written form will be rejected)

The form should be duly completed along with copies of Birth / Baptism Certificate. Original shall be produced when called for

The decision of the Selection Committee is final.

Submission of application forms will not guarantee admission.

For Office use only

Birth certificate - Photocopy Received / not received

Birth Certificate - Original

Community Certificate

Interviewed on

Date of admission

Fees paid

Principal's Signature

Date