SACRED HEART MATRIC. HR. SEC.SCHOOL

Photo

SATHYA NAGAR, PADI, CHENNAI- 600050

PH.044 2624 6635, MOB: 9444883136 Email: sacredheartmhsspadi@gmail.com, 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: sacredheartmhsspadi@gmail.com, 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: sacredheartmhsspadi@gmail.com, 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