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AVM 11th Std School Application

This document is an application form for admission into the Higher Secondary Course at AVM Rajeshwari Matriculation Higher Secondary School in Chennai. It requires detailed personal information from the applicant, including family details, educational background, and health information, along with necessary attachments such as certificates and reports. The form emphasizes the importance of completeness and accuracy, stating that incomplete or incorrect applications will be rejected.

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thinaikulam.dev
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198 views4 pages

AVM 11th Std School Application

This document is an application form for admission into the Higher Secondary Course at AVM Rajeshwari Matriculation Higher Secondary School in Chennai. It requires detailed personal information from the applicant, including family details, educational background, and health information, along with necessary attachments such as certificates and reports. The form emphasizes the importance of completeness and accuracy, stating that incomplete or incorrect applications will be rejected.

Uploaded by

thinaikulam.dev
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FOR OFFICE USE ONLY No:

INTERVIEW
FEES PAID
AFFIX
STAMP
SIZE
Filled in Application must be submitted on or before ………………………... PHOTO

AVM RAJESWARI MATRICULATION HIGHER SECONDARY SCHOOL


-THE SCHOOL FOR GREATER VALUES
(Recognised by Govt. of Tamil Nadu)
No.10, AVM Nagar, I street, Virugambakkam, Chennai-600 092. Ph. :2376 6056

APPLICATION FOR ADMISSION INTO HIGHER SECONDARY COURSE, ENGLISH MEDIUM


ADMN.NO :
NOTE : Incomplete Applications, applications defective in particulars OR in any other manner will be
rejected.

1.a) Name of Applicant in full as given in the


School Leaving Certificate/Transfer Certificate/ : ……………………………………………..........
Mark Sheet

b) Sex : MALE / FEMALE

c) Blood Group (Copy to be attached) : ……………………………………………………

2. Date of Birth ( as entered in the Mark Sheet / DD MM YYYY


Transfer Certificate) in words (copy of Birth :
Certificate must be attached)

3. Identification Marks (a) : …………………………………………………...


(b) : ……………………………………………………

4. Nationality : ……………………………………………………

5. State to which the pupil belongs : ……………………………………………………

6. Native place : ……………………………………………………

7. Religion & Caste : ……………………………………………………


(intended only for statistical purpose)

8. SC / ST / MBC / BC / OC / DC : ……………………………………………………
(Copy of the certificate issued by the Revenue
Authority not lower in rank than the
Thasildar to be attached)

9.a) Name of Father : ……………………………………………………

b) Name of Mother : ……………………………………………………

c) Occupation of Father : ……………………………………………………

d) Occupation of Mother : ……………………………………………………

e) Residential Address : ……………………………………………………


……………………………………………………

f) Residence Telephone No. : ……………………………………………………

g) Office Address of Father : ……………………………………………………


h) Office Telephone No. of Father : ……………………………………………………

i) Monthly Income : …………………………………………………....

j) Office Address of Mother : ……………………………………………………

k) Office Telephone No. of Mother : ……………………………………………………

l) Monthly Income : ……………………………………………………

10.a) Name of Guardian : ……………………………………………………

b) Occupation : ……………………………………………………

c) Residential Address & Telephone No. : ……………………………………………………

d) Office Address : ……………………………………………………

e) Office Telephone No. : ……………………………………………………

f) Monthly Income : ……………………………………………………

11. Local Residential address if not living with


Parent or Guardian : ……………………………………………………

12. Qualifying Examination Passed and


Examining Body : ……………………………………………………

13. Class last studied and name of the school


last studied and reasons for leaving,
if discontinued : ……………………………………………………

14.a) Whether a copy of Transfer Certificate is


attached? (Original to be produced when : ……………………………………………………
called for interview)

b) Whether a copy of Migration Certificate : ……………………………………………………


(in case of students from other Board of
Examination than Tamil Nadu) is attached?
(Original to be produced when called for
interview)

15. Mother Tongue of the pupil : ……………………………………………………

16. Medium in which the pupil studied : ……………………………………………………


at the time of leaving

17. Second Language studied at Secondary : ……………………………………………………


School Level

18. COURSE OF STUDY OFFERED IN THIS SCHOOL-MEDIUM OF INSTRUCTION-ENGLISH


i) PART-I : ENGLISH

ii) PART-II : TAMIL / HINDI / FRENCH


(Part-I & Part-II Compulsory for all)

iii) PART-III : GENERAL EDUCATION


The following combinations of subjects are offered.

Group-I : Mathematics, Physics, Chemistry and Biology


Group-II : Mathematics, Physics, Chemistry and Computer Science
Group-III : Business Mathematics, Accountancy, Commerce and Economics
Group-IV : Computer Science, Accountancy, Commerce and Economics
19. Indicate in the space provided below the choice of language under

PART-II and Groups under PART-III in order of Preference.

PART-II - Name of the language : ……………………………………

PART-I - General Education – in the order of Preference

1.
2.
3.

20. General condition of Health (Medical Certificate : ……………………………………………


regarding general health to be attached)

Mention to be made regarding general weakness,


wheezing, asthma or any other illness : ……………………………………………

21. Any noticeable illness : ……………………………………………


(State handicap if any)

22. Proficiency in extra-curricular activities (a) : ……………………………………………


(b) : ……………………………………………

23. Name of the Sister(s) Brother(s) studying (a) : ……………………………………………


in this school and class (b) : ……………………………………………

Encl : 1. Self Addressed 10 ½” X 4 ½” envelope


2. Physical Fitness Certificate
3. Community Certificate
4. Std X Quarterly & Half-yearly marks duly attested by the head of the institution /
Copy of the Report Card.
5. Birth Certificate
6. Copy of Blood Group Report

DECLARATION
I declared that the particulars given above are correct to the best of my knowledge and that I
will abide by the rules of the school.

I am aware that admission obtained on false information OR by suppression of fact will be


cancelled on detection at any time.

I hereby irrevocably undertake not to ask for a change of group OR claim refund of the fees
paid under any circumstance whatsoever.

Signature of the applicant (with date) Signature of the Parent/Guardian (with date)
FOR OFFICE USE ONLY

Remarks of the Principal.

Class last studied :

Name of the School :

Name of the Board :

DATE OF ADMISSION Signature of the Principal

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