M O N T F O R T S C H OO L Please affix
10th Mile, G.S. Road, Guwahati – 23 one passport
size photo of
7 0)
AFFILIATED TO CBSE (2300 the applicant
APPLICATION FORM
(FOR SENIOR SECONDARY)
To /
The Principal,
Montfort school,
G. S. Road, Guwahati – 23.
Rev. Brother,
I would like to admit my son/daughter _ _for Class-
XI (mention stream) in your school. I agree to abide by the rules and
regulations of the school. For your reference I furnish below the true and correct particulars of my
son/daughter.
Yours truly, Place:
Date:
Signature of the parents
BIO-DATA OF THE STUDENT (TO BE FILLED IN BLOCK LETTERS).
1. First name:
Middle Name:
Last Name:
2. Gender : .............. 3. Blood Group: ……………. 4. Religion: …………………….. 5. Social Category: ……………….
6. Aadhar No: 7. BPL APL
8. Year in which appeared for Class X: …………………………… 9. Board: CBSE/SEBA/Other(Specify)………...……………
10. Name of the school last studied: …………………………………………….………………………….………………………………………
11. Address of the school last attended: ……………………………………………………………………………………………………………
12. Medium of instruction: ……………………………………………… 13. Mother Tongue: ………………………………………………
14. Name of the disability, if any: ……………………………………… 15. Annual Income: …………………………………………
16. Write your choice of stream in the column (first choice as 1 and second choice as 2):
Science Commerce Humanities (Arts)
(N B: The selection of Subjects will be strictly on the basis of marks obtained in the student's school
Cumulative Record & Board Exams).
17. DETAILS OF THE PARENT
Name Occupation Phone (Mobile)
Father
Mother
18. PERMANENT ADDRESS : ……………………………………………………………………… House No: ………………………………
Lane: ………………………………………… City/Village: ………………………………………… P.O: …………………………………………
District: …………………………………………… State: ……………………………………………… PIN:
PHONE (Landline): ………………..…………………………………….…..Mob:
19. OFFICE ADDRESS: ………………………………………………………………………………… House No: ……………………………
Lane: ………………………………………… City/Village: ………………………………………… P.O: ………………………………………………
District: …………………………………………… State: …………………………………………… PIN:
PHONE (Landline): ………………………………………………………….. Mob:
20. LOCAL GUARDIAN’S ADDRESS…………………………………………………………………… House No: ……………………………
Lane:……………………………….……… City/Village: ……………………………..…………… P.O: ……………..…………………………………
District: …………………………………………… State: ……………………………………………… PIN:
PHONE (Landline): ………………………………………………………………..…….. Mob:
21. Contact number in case of emergency:
22. Achievement in CCA (Specify details and attach Xeroxed copies of certificate - National, District, State)
i. Sports (National / District / State) …………………………………………………………………………………………………………
ii. Any other (Music, Debates, Quiz) …………………………………………………………………………………………………………
DECLARATION
I hereby give an undertaking that if any of the information provided by me is found to be false, my
Application is liable to be cancelled, and no further enquiry shall be entertained.
Signature of the Student
FOR OFFICE USE ONLY
Admitted Stream Admission No. Date & Year of Admission
YES NO
SIGNATURE OF THE PRINCIPAL
MONTFORT SR. SEC. SCHOOL
10th Mile, G.S. Road, Guwahati – 23
AFFILIATED TO CBSE (230070)
PHOTOGRAPH
SELECTION OF STREAM / SUBJECTS
Those applying for more than one stream should do so in a separate form.
1. First name:
Middle Name:
Last Name:
2. Gender: Male Female
3. RESIDENTIAL ADDRESS: …………………………………..…………………………………………………….………………….……………
………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………….……………….
4. PHONE (Landline): …………………………………………………….. (Mob):
MARKS OBTAINED IN BOARD EXAM: 5. BOARD ROLL No:
ND
ENGLISH 2 LANG. MATHS SCIENCE SOC. TOTAL ADDITIONAL TOTAL
(Specify) SCIENCE MARKS (Specify) (%/CGPA)
COURSE OF STUDIES (SUBJECTS OFFERED)
Listed below are the stream wise subjects that are offered for Senior Secondary Classes. Students are
requested to choose the stream of studies they wish to pursue by putting a tick mark in the corresponding
column
Note: Only students with first division marks are eligible for Admission to Science Stream.
SCIENCE HUMANITIES / ARTS COMMERCE
1. English 1. English 1. English
2. Physics 2. Sociology 2. Accountancy
3. Chemistry 3. Geography / Comp. Sci. 3. Entrepreneurship
4. Biology 4. Entrepreneurship 4. Business Studies
5. Mathematics/ Comp. Sci. 5. Political Science 5. Comp. Science
6. Physical Education 6. Physical education 6. Physical education
Signature of the student
ELIGIBILIIY CRITERIA FOR ADMISSION
Science Stream: 70% / CGPA 7.0 in Maths & Gen. Science
Commerce Stream: 60% / CGPA 6.0 and above
Humanities/Arts: 45% / CGPA 4.5 and above
The following documents are to be submitted with the application.
1. Proof of age.
2. Copy of Admit Card of Class X Board Examination.
3. Copy of Mark Sheet of Class X Board Examination.
4. Copy of Pass Certificate of Class X Board Examination.
5. Original Transfer Certificate from the school last attended.
6. Original Character Certificate from the school last attended.
7. Attested copy of Board Registration Card (for CBSE students only).
8. Income Certificate (of Parents).
9. Original Migration Certificate (other than CBSE students).
10. Copy of Caste Certificate (if any).
11. Details report of distinguished co-curricular achievement (if any).
12. Copy of Aadhar Card / Ration Card.
13. Copy of Bank Passbook of the student.
Note:
1. INCOMPLETE FORMS WILL BE REJECTED UPON SCRUTINY.
2. SUBMISSION OF FORMS DOES NOT RESERVE THE RIGHT TO ADMISSION.
MONTFORT SCHOOL
Guwahati
FOR OFFICE USE ONLY
Admitted Stream Admission No. Date
YES NO
SIGNATURE OF THE PRINCIPAL
