Girideepam Bethany Central school

APPLICATION FORM - GIRLS BOARDING

Personal Details

Name (in capitals):

Date of Birth (DD-MM-YYYY):

Age

Mobile

Religion & denomination:

Class to which admission is sought:

Syllabus:

Promoted or not. : *
Yes No

If not the no. of years spent in that standard :

Has the student failed in any of the previous standards : * Yes No

The school last attended : *

Has the student resided in any boarding *:

If so name of the Boarding

Period of residence :

Reason for leaving

Percentage of marks scored in the examinations of the previous year *

Parent and Guardian Details

Father's Name *:

Occupation *

Mother's Name :

Occupation *

Guardian's (name) *:

Occupation *

Guardian's Relationship with the student *

Address

Student's Permanent Address *

Guardian's Permanent Address *

Student's Land Phone *

Guardian's Land Phone *

Student's Mobile Number *

Guardian's Mobile Number*

Why do you prefer Girideepam Bethany Central School and write your opinion

Declaration: The details given above are fully correct. I agree to follow all rules and regulations of Girideepam and in case of any violation, ready to accept any disciplinary action decided by the school authority.

I Agree (Student)

I Agree (Parent)