SACRED HEART ENGLISH MEDIUM SCHOOL  (CBSE) (SENIOR SECONDARY)          MOOKKANNUR P.O,ANGAMALY,KERALA-683 577
APPLICATION FOR ADMISSION TO CLASS XI- 2023-24
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1. NAME IN FULL(BLOCK LETTERS) *
2. PLACE OF BIRTH WITH TALUK AND DISTRICT *
3. AGE AND DATE OF BIRTH *
4. MALE/FEMALE *
5.NATIONALITY AND STATE *
6. MOTHER TONGUE *
7. NAME OF FATHER AND OCCUPATION *
8. NAME OF MOTHER AND OCCUPATION *
9. RELIGION & CASTE / COMMUNITY *
10.PERMANENT ADDRESS IN FULL *
11. TEMPORARY / PRESENT ADDRESS *
12. CONTACT NOS.(MOBILE & LAND) *
13. ANNUAL INCOME *
14. THE SCHOOL LAST ATTENDED *
15. NAME OF THE EXAM PASSED & THE BOARD *
16. YEAR OF PASSING & REGISTRATION NUMBER *
17. NUMBER & DATE OF TRANSFER CERTIFICATE *
18. PARTICIPATION IN EXTRA CURRICULAR ACTIVITIES(Specify the details of certificates) *
19. CHOOSE YOUR STREAM. *
20. SELECT ANY ONE AS ADDITIONAL 6TH SUBJECT *
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