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CHRISTIAN NURSERY & PRIMARY SCHOOL
No. 60, Dhanakotti Raja Street, Ekkattuthangal, Chennai 600032.
ONLINE APPLICATION FORM
1.
Name of the Student
*
2.
a) Father's Name
*
b) Mother's Name
3.
Date of Birth
*
(DD/MM/YYYY)
4.
Age
5.
Sex
*
-- Select --
Male
Female
6.
Nationality
-- Select --
INDIAN
OTHERS
7.
State
*
-- Select --
Tamil Nadu
Kerala
Karnataka
Assam
Bihar
Andra Pradesh
Uttar Pradesh
Madhya Pradesh
Maharashtra
Rajasthan
Gujarat
Odisha
Jharkhand
Punjab
Haryana
Chhattishgarh
Jammu&Kashmir
Uttrakhand
Himachal Pradesh
Tripura
Meghalaya
Manipur
Nagaland
Goa
Arunachal Pradesh
Mizoram
Sikkim
Delhi
Pondicherry
Chandigarh
8.
Religion(this information is intended only for statistical purpose)
-- Select --
HINDU
MUSLIM
CHRISTIAN
OTHERS
9.
Does the candidate belong to Scheduled Caste or Scheduled Tribe or other socially and educationally Backward Classes specified in the Tamil Nadu Educational Rules or is he/she a convert from the Schedule Caste or the Scheduled Tribe?
If so, Please specify
10.
a) Class and Name of the School last studied
-- Select --
Pre KG
LKG
UKG
I
II
III
IV
V
b) Whether qualified for promotion
-- Select --
YES
NO
11.
Class into which admission is sought
*
-- Select --
Pre KG
LKG
UKG
I
II
III
IV
V
12.
Mother Tongue of the student
-- Select --
TAMIL
MALAYALAM
KANNADA
TELUGU
HINDI
OTHERS
13.
Language proposed to be taken as second language
-- Select --
TAMIL
MALAYALAM
KANNADA
TELUGU
HINDI
FRENCH
OTHERS
14.
Details of sister / brother already studying in this school
15.
Address for communication
*
16.
Contact No.
*
17.
a) Name of the Parent
b) Occupation
c) Office Address
d) Office Telephone No.
18.
a) Name of the Guardian
b) Occupation
c) Office Address
d) Office Telephone No.
19.
a) Student Photo
b) Birth Certificate
c) Community Certificate
d) Transfer Certificate
e) Progress Report
f) Aadhaar Card
g) Ration Card
h) Income Certificate
i) EMIS No.
I hereby declare that the details given above are correct and that I will not ask for any change of particulars given against items 1 to 9 in the future.
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