HARISRI

Class of Admission*

Academic Year*

Date*

Student's Personal Details

First Name*

Last Name*

Date of birth (Enter between January 2005
and December 2017)*

Age

Aadhaar/Passport No.

Gender*

Male Female

Nationality

Mother tongue

Religion

Caste

Previous School Details

Name of Previous school *

Name of the Board(CBSE,ICSE,SSLC)*

Year of Passing *

II nd Language Offered

Any Other Relevent Details ( Member of Hari Sri Vidya Nidhi, Siblings etc)

Identification Mark1

Career Aims/ Intended profession

Senior Secondary*

Yes

Percentage of last exam appeared in school *

Note:( Original board exam mark list to be produced at the time of admission )

Subjects	Marks of last exam appeared in school
* English
* Maths
* Science Commercial Studies
* Social Studies
* Specify Optional Subject (Only for ICSE students)
* Second Language in Class X
TOTAL

Note:( Original board exam mark list to be produced at the time of admission )

CHOICE OF SUBJECTS

All candidates for the ISC Board Exam must appear for five subjects

Common to all: ENGLISH LANGUAGE & LITERATURE

OPTION-1 *

OPTION-2

OPTION-3

In case there are not enough takers for a particular subject, the same will not be offered.

Permanent address

Res. phone no

Temporary address

Same as above

Res. phone no

Parent /guardian details

Mother name*

Occupation

Whatsapp Mobile no

Father name*

Occupation

Whatsapp Mobile no*

Guardian name

Relationship with student

Whatsapp Mobile no

Document submitted

The following documents to be ready for submission at a later date.

Copy of Mark List

Copy of Aadhaar Card

Original TC

Original Migration

Original Conduct Certificate

(Admission to ISC level will be based on the Board Examination marks and fluency in Spoken English. Internal assessment of general behavior will be given weightage.)

DECLARATION

I declare that all the particulars stated above are correct. I also undertake to obey and abide by the rules of the school in force from time to time, in letter and spirit and to carry out the instruction of the authorities without fail. I also undertake not to indulge in any activity detrimental to the discipline, smooth working and fair name of the school. I assure you that I will not induce or assist others in activities which are tantamount to questioning or challenging the rules and regulations of the institution.

I certify that the particulars furnished by my son / daughter/ ward in the application are correct and that they are supported by authentic documents. I understand that admission to this Institution is provisional, subject to the Council granting the eligibility. I undertake the responsibility for his/ her conduct and behaviour. I shall keep myself informed of my son’s/ daughter’s/ ward’s activities and progress in studies by keeping in touch with the school authorities.

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