SACRED HEART MATRIC. HR. SEC.SCHOOL · sacred heart matric. hr. sec.school photo ( to be filled by...
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SACRED HEART MATRIC. HR. SEC.SCHOOL
Photo
SATHYA NAGAR, PADI, CHENNAI- 600050
PH.044 2624 6635, MOB: 9444883136 Email: [email protected], www:sacredheartmhss.com
Application for Admission to
Higher Secondary Course
Application No. Admission No. Group Code
1 NAME OF THE APPLICANT ( In Block Letters)
( As given in the School Leaving Certificate/
Transfer Certificate )
2 Expansion of Initials
3 Date of Birth ( as entered in the T.C - Christian
Era)
4 Sex
5 Nationality
6 State to which the pupil belongs
7 Place of Birth and District
8 a. Religion
b. Caste ( only for statistical purpose)
A community certificate from the Tahsildar should
be obtained for Backward class/ most Backward
class/ scheduled caste/ Tribe.
Christian Muslim Hindu & others
9 Name of Father/ Guardian .
Educational
Qualification
Occupation
Monthly Income
Office Address with ph.No.
10 Mothers Name.
Educational
Qualification
Occupation
Monthly Income
Address with ph.No
11 Name of school last attended with Medium.
12 Date of leaving the school last attended.
13. Public examination for which the applicant
appeared ( matriculation/ S.S.L.C./ C.B.S.C/
Anglo-Indian)
14. Month and year of passing the examination.
15. Register No. in the public examination.
16. Mother Tongue
17 Medium of instruction in High School
18. Course to which admission is sought.
19. No. and date of transfer Certificate
20. Was there a break in the applicant’s studies? If so,
give reason.
21 State whether admission is sought for the first year
or second year of the course.
Course of Study offered in the school
i. Part I Tamil / Hindi
ii. Part II English
iii. Part III
Group 102
103
208
302
308
Physics, Chemistry, Computer Science and Maths.
Physics, Chemistry, Biology and Maths.
Physics, Chemistry, Biology and Zoology.
Computer Science, Economics, Commerce and Accountancy.
Economics, Commerce, Accountancy and Business Mathematics
22
From the subjects offered in the school, indicate in the space provided below the choice of subjects under
Part III.
Part I : Tamil / Hindi
Part II : English
Part III : Choose and specify the combination of subjects in the order of priority from Part III .
( General Education)
Choice First Subject Second Subject Third Subject Fourth Subject
1.
2.
23. Proficiency in games and sports.
(Outstanding achievement alone should be
mentioned. Attested copies of certificate to be
attached.)
24. Extra- Curricular activities ( Mention participation
in Debates, Elocution and Entertainment
Programmes, Drama, Music( Vocal or Instruments)
or other Fine Arts. Mention distinctions or prizes
secured any.
25. a) Is the candidates a Scout ? Guide / JRC?
b) if not, is he / she willing to join the movement?
26 Address to which communication should be sent.
27. Personal marks of identification.
NB. Fee once paid will not be refunded.
Declaration by the student I have carefully read the prospectus and will abide by all the rules and regulations of sacred Heart Matric.
Hr.Sec.School. I confirm that the particulars I have given in my application are correct.
I am aware that admission obtained on false information or suppression of facts will be cancelled on detection at
any time.
Date:
Place : Signature of the Student.
Declaration by the Parent / Guardian
I……………………………………….. ………… the Parent / Guardian of ………………………………. here by
give assurance that my son / daughter , if admitted will abide by all rules and regulations of Sacred Heart
Matric.Hr.Sec.School as given in the prospectus and also any other rules as may be framed from time to time. I
promise to abide by the decision that may be taken by the principal in case my ward violating any of the rules and
regulations of this school.
Date :
Place: Signature of Parent/ Guardian
…………………………………………………………………………………………………………………………
Note: The following original certificates are to be submitted for confirmation of admission.
a) X Std.Mark List
b) Conduct Certificate
c) Transfer Certificate ( in case of students from other streams should bear counter signature of competent
authority)
d) Students coming from school other than Tamilnadu have to produce Migration Certificate.
…………………………………………………………………………………………………………………………
( For Office use only )
Admission for Std. XI / XII Group 102/ 103 / 208 / 302 / 308
Part I : Tamil / Hindi
Caste :
Community:
The above details are verified.
Date:…………………………… School seal PRINCIPAL
SACRED HEART MATRIC. HR. SEC.SCHOOL
Photo
SATHYA NAGAR, PADI, CHENNAI- 600050
PH.044 2624 6635, MOB: 9444883136 Email: [email protected], www:sacredheartmhss.com
APPLICATION FORM
FOR CLASS I TO IX
( TO BE FILLED BY PARENT OR GUARDIAN IN CAPITAL LETTERS ONLY )
SL. NO: ………….
CLASS APPLIED FOR :
1 NAME OF THE PUPIL
2 DATE OF BIRTH
3 SEX
BOY GIRL
4 MOTHER TONGUE
5 RELIGION
6 CASTE
A community certificate from the Tahsildar should be attached with the
application for Scheduled Caste/ Tribe.
7 PANCHAYATH /
CORPORATION
VILLAGE :
8 TALUK
DISTRICT :
9 STATE
COUNTRY :
10 NAME OF FATHER
Occupation :
Ph.No :
Mob :
Monthly Income:
Email ID :
11 NAME OF MOTHER
Occupation :
Ph.No :
Mob :
Monthly Income:
Email ID:
12 PERMANENT ADDRESS
13 PRESENT ADDRESS
14 DETAILS OF GUARDIAN
(If any)
NAME :
ADDRESS:
Ph.No: Mob:
15 Personal identification mark
16 Brother/ Sister already
enrolled in this school
Name : 1. Class :
2. Class :
17 Name & place of the last
school attended
18 What syllabus did your last
school follow?
19 Details of marks obtained in
the previous class
Subjects Marks/ Grade Subjects Marks/Grade Marks
English Science
Second
Language
Social Science
Maths EVS
20 Medical history of the pupil Blood Group : Any Allergies:
Vaccinations taken :
21 Mention the games/
sports/extra curri.activities
interested in.
22 Copies attached with
application form ( add tick
mark)
1. Transfer Certificate 2. Birth certificate
3. Adhar card 4. Previous year’s mark list
(At the time of admission original certificate should be brought for
verification.)
Declaration by the Parent / Guardian
I……………………………………….. ………… the Parent / Guardian of ………………………………. here by
give assurance that my son / daughter , if admitted will abide by all rules and regulations of Sacred Heart
Matric.Hr.Sec.School as given in the prospectus and also any other rules as may be framed from time to time. I
promise to abide by the decision that may be taken by the principal in case my ward violating any of the rules and
regulations of this school.
Date :
Place: Signature of Parent / Guardian
………………………………………………………………………………………………………………………
( For Office use only )
……………………………………. Admission No:…………. is admitted in class ……………….during the
Academic Year ………………….
Date:…………………………… School Seal PRINCIPAL
SACRED HEART MATRIC. HR. SEC.SCHOOL
Photo
SATHYA NAGAR, PADI, CHENNAI- 600050
PH.044 2624 6635, MOB: 9444883136 Email: [email protected], www:sacredheartmhss.com
APPLICATION FORM FOR
LITTLE FLOWER NURSERY SECTION
( TO BE FILLED BY PARENT OR GUARDIAN IN CAPITAL LETTERS ONLY )
SL. NO: ………….
CLASS APPLIED FOR :
1 NAME OF THE PUPIL
2 DATE OF BIRTH
3 SEX
BOY GIRL
4 MOTHER TONGUE
5 RELIGION
6 CASTE
A community certificate from the Tahsildar should be attached with the
application for Scheduled Caste/ Tribe.
7 PANCHAYATH /
CORPORATION
VILLAGE :
8 TALUK
DISTRICT :
9 STATE
COUNTRY :
10 NAME OF FATHER
Occupation :
Ph.No :
Mob :
Monthly Income:
Email ID :
11 NAME OF MOTHER
Occupation :
Ph.No :
Mob :
Monthly Income:
Email ID:
12 PERMANENT ADDRESS
13 PRESENT ADDRESS
14 DETAILS OF GUARDIAN
(If any)
NAME :
ADDRESS:
Ph.No: Mob:
15 Personal identification mark
16 Brother/ Sister already
enrolled in this school
Name : 1. Class :
2. Class :
17 Medical history of the pupil Blood Group : Any Allergies:
Vaccinations taken :
18 Copies attached with
application form ( add tick
mark)
1Transfer Certificate 2. Birth certificate
3Adhar card 4. Previous year’s mark list
(At the time of admission original certificate should be brought for verification.)
Declaration by the Parent / Guardian
I……………………………………….. ………… the Parent / Guardian of ………………………………. here by
give assurance that my son / daughter , if admitted will abide by all rules and regulations of Little Flower Nursery
Section as given in the prospectus and also any other rules as may be framed from time to time. I promise to abide
by the decision that may be taken by the principal in case my ward violating any of the rules and regulations of this
school.
Date :
Place: Signature of Parent / Guardian
………………………………………………………………………………………………………………………
( For Office use only )
……………………………………. Admission No:…………. is admitted in class ……………….during the
Academic Year ………………….
Date:…………………………… School Seal PRINCIPAL / HEADMISTRESS