1. No category

SISHYA
SCHOOL
1
(A Unit of Sishya Educational Trust, Hosur)
Affiliated to the Central Board of Secondary Education, New Delhi
Affiliation Number: 1930142
Thally Road, Hosur – 635 109 (T.N.)
Ph no: 04344-266668, Fax : 04344-265669,
Website: www.sishyaschoolhosur.org
REGISTRATION FORM – STANDARD XI
(2015-16)
Regn. No:
Admn. No.:
1 . Name of the Applicant :
2. Residential Address:
3.Date of Birth:
4. Father’s Name :
Occupation :
(Designation and office
address)
5. Mother’s Name :
Occupation :
(Designation and office
address)
6. Contact Phone Number(s):
7. E- Mail Address:
Photo
For Office Use Only
8. Sex:
9.
a)Nationality:
b)Religion:
c)Category: OC/ SC/ ST/
BC/ MBC/ Others:
Male
Female
a)
b)
c)
10. a. Name of the School where
candidate is studying Class
X at present:
b. Whether recognized
c. Board of Affiliation
d. Medium of Instruction
Yes
No
CBSE
Matric
English
others
11. Academic Performance :Std. X
I term Exam /SA-1
(Copy of the Report card to be
enclosed)
Sl.No. Subjects
1.
English
2.
Mathematics
3.
Science
4.
Social Science
5.
II language
12. Choice of Courses: English Compulsory
1. Physics, Chemistry, Mathematics, Biology
2. Physics, Chemistry, Mathematics, Computer Science
3. Physics, Chemistry, Biology, Computer Science
4. Economics, Business Studies, Accountancy, Computer Science
5. Economics, Business Studies, Accountancy, Entrepreneurship
Others
% Marks / Grade
13. Certificate by Candidate & Father/Guardian:
I hereby certify that the information given above is true to the best of my knowledge and
belief. In case any of the information given above is found incorrect, I will abide by the
decision of the Principal.
Signature of Father/Guardian
(With date)
Signature of the candidate
(With date)
Note:
♦
♦
♦
♦
Submission of Form does not guarantee Final admission.
Entrance test marks are a pre requisite for admission.
The School’s decision on admission is final.
Fee once paid will not be refunded.
FOR OFFICE USE ONLY
Reg. No. : ________________________________
Fees : ___________________________________
(a) Selected _________________________________________________________________
(b) Not Selected ______________________________________________________________
(c) Reasons__________________________________________________________________
Date of registration
Date of Admission
:_____________________________________
:_____________________________________
Roll No. (at admission) :_____________________________________
Date of withdrawal
:_____________________________________
Reasons for withdrawal :_____________________________________
Class studying at the time of withdrawal :________________________________
Date :
Signature of Principal