CHAVARA ENGLISH MEDIUM SCHOOL

  

MOHIDA ROAD, SHAHADA
NANDURBAR – 425 409

  

 
APPLICATION FOR ADMISSION  
  2023–2024 Search
SNO.   G.R.No.
       
                                        Please admit my son/daughter/ward, details about whom are given below:    
                                        I declare that the following data are correct    
   



1. Details of Candidate
For School: *
Standard in which admission is sought :
Name of the candidate:    
Surname *
Name *
Father’s Name  
Gender
 
Date of Birth (In figure) *
(In words) *
Place of birth  
Mother Tongue  
Religion: , Caste: (attach copy of cast certificate)
Nationality  
School last attended  
Full residential address:    
(Add1)  
(Add2)(Locality, Post Taluka)  
(Add3)(Dist, PIN)  
2. About father of the student whose admission is sought:
Name  
Mother Tongue  
Date of Birth
Religion  
Academic Qualification  
Occupation & Designation  
Name of present company/concern working  for  years and  months  
Full office address  
Telephone Number , Mobile No  
3. About mother of the student whose admission is sought:
Name  
Mother Tongue  
Date of Birth
Religion  
Academic Qualification  
Occupation & Designation  
Name of present company/concern working  for  years and  months  
Full office address  
Telephone Number , Mobile No  
4. About Guardian of the student whose admission is sought:
Name  
Mother Tongue  
Date of Birth
Religion  
Academic Qualification  
Occupation & Designation  
Name of present company/concern working  for  years and  months  
Full residential address  
Full office address  
Monthly income  
Telephone Number , Mobile No  
5.  Brothers/Sisters studying in this school[attach photocopies of ID cards] :
 
Name
Standard
  
 
i.
ii.
iii.
 
6. Whether your child avail school's transport
  
7. Blood group of the child  
8. Last three vaccination taken:
Name
Date
 
i.
ii.
iii.