Registration Form

St. Xavier’s Public School

SENIOR SECONDARY CBSE AFFILIATION CODE 930590

MANAGED BY CLARETIAN MISSIONARIES (CMF)

ST, XAVIER’S NAGAR, PEECHANIKADU, PULIYANAM P.0, ANGAMALY 683572. PHONE : 8943491130, 9447576821

Name
Identification Mark
Photo
Date of Birth
Date Format: MM slash DD slash YYYY
In words*
Nationality*
Aadhar Number*
Religion*
Caste Denomination*
Admission sought for
STREAMS
Blood Group*
Height*
Weight*
Father's Name*
Edu. Qualification*
Occupation*
Residential Address*
Email
Phone
Office Address
Phone
Mother's Name*
Edu. Qualification*
Occupation*
Office Address
Phone
Local Guardian
Phone
Annual Income
Any medical/physical problem that could affect normal life
Allergies if any
Family Doctor
Hospital
Details about previous school :
Name of the School
Address
CBSE/ICSE/State Board
Names of Siblings studying in St Xavier's School Angamaty
1
Class & Div
2
Class & Div
If School bus facility is required
Boarding Point
I, solemnly declare that the above
particulars about my child/ward
Name
are true and correct I also declare that I shall abide by the rules and regulations of the school and hereby agree that I shall remit the fees on time
Place
Name of Parent/Guardian
Date
Date Format: MM slash DD slash YYYY
Signature of the Father
Signature of the Mother
Upload Certificate
Drop files here or
Documents to be submitted

1, Copy of marksheets. (Classes IX- Final Exam & Class X-P.T.1)

2, Copy of Aadhar Card

3, SeIf Attested copy of Birth certificate

4, Transfer Certificate & Conduct Certificate

5, Authorisation letter for local guardian