RAJASHREE S.M.M. SCHOOL
CLASS XI APPLICATION FORM - 2024-25
Pupil's name (in block letters) *
Gender (Male/Female) *
Date of Birth *
MM
/
DD
/
YYYY
Name of the Father *
Occupation *
Telephone Number *
E-mail ID *
Name of the Mother *
Occupation *
Telephone No. *
Name of the Guardian
Address for communication *
Annual Income *
Nationality *
Religion & Caste *
Name of the Institution last attended *
Medium of Instruction at present
Mother Tongue
Names & Classes of brother/sister already in this school
Extracurricular achievements (District level, State level - Should submit Xerox copies of certificates at the time of admission)
Year of Passing the qualifying examination. Specify whether STATE/CBSE/ICSE
Name of the School & Year of passing
Total marks obtained in the revision examination and percentage
MARKS SCORED IN THE CLASS X REVISION EXAMINATION (NOT APPLICABLE FOR RAJASHREE STUDENTS)
REVISION EXAM 1
ENGLISH
SECOND LANGUAGE
SCIENCE
SOCIAL SCIENCE
MATHEMATICS
Subjects combination available
SUBJECTS COMBINATION SELECTED AS FIRST CHOICE *
SUBJECTS COMBINATION SELECTED AS SECOND CHOICE *
SUBJECTS COMBINATION SELECTED AS THIRD CHOICE
Are you interested to attend the extra coaching for competitive examinations? *
1) Applications are to be submitted on or before 31/03/2024. Applications received after due date and incomplete applications are liable to be rejected. 2) After the preliminary selection, the candidates may have to appear for an interview on the date and time duly communicated to them
I hereby certify that the details given above are correct to the best of my knowledge.  If selected, I agree to abide by all the rules and regulations laid down by the institution.
Please pay the registration fee of Rs. 500/- to the below mentioned Federal Bank account to confirm the form submission. RAJASHREE SCHOOL ACCOUNT NO. 12212100053153 IFSC CODE: FDRL0001221
Registration fee - Reference No. *
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