Applicationforhighersec

RAJAGIRI HIGHER SECONDARY SCHOOL

APPLICATION FOR ADMISSION

TO THE HIGHER SECONDARY COURSE (Classes 11 & 12)

Any examples for prime essays one would wish to order can be found at the main page of the site

(Fields marked with * are mandatory)

1.

Name of applicant(IN BLOCK LETTERS)*

.

2.

Year(s) of the Course

3.

Gender*

Male

Female

4.

Age & Date of birth*

Age	Date of Bith

5.

Place of Birth(with Dist. & State)*

Place of Birth	District	State

6.

Place of Residence

Place	Panchayat/Muncipal town/ Corporation	Taluk	District

7.

Name (IN BLOCK LETTERS) & Ocupation of Father/Mother/Guardian*

8.

Permanent Home Address of the Parent/Guardian with Pincode*

9.

Address to which communications are to be sent with Pincode

10.

Religion and Caste

11.

(a) Contact Phone No. with STD Code*

12.

Mobile*

13.

Email

14.

Whether belongs to (tick the relevant column)*

SC

ST

OEC

OBC

General

15.

Whether the applicant is(tick the relevant column)

Orthopaedically Handicapped

Blind

Deaf

16.

Are You Eligible for bonus score(tick the relevant column)

Same School

NCC

President's Badge in Scout/Guide

Dependent of Jawan in Service or Ex-Service

17.

Are You Eligible for reservation under Sports Quota : Sports and Games Winner.

National Level

State Level

District Level

Sub District Level

School Level

18.

Prizes won in

Youth Festivals

Sports Meets

Other competitions

19.

Details of participation in co-curricular activities (Red Cross,Social Service Club,Science Club,Environment Club,Forestry Club,Philately Club,Debating Club,Oratory Club etc.)

20.

Whether the applicant is eligible for educational concessions from Government

Yes

No

if Yes ,furnish details

21

Name and address of the school in which the applicant studied for the S.S.L.C or equivalent examination

22.

Courses study in class 10*

23.

a) No.of chances taken for passing the SSLC or equivalent examination

b)Reg . No,Month & year of appearance

24.

Number and date of T.C issued from the institution last studied

25.

Group and Subjects Combination(tick the relevant group) *

Group A: Physics-Chemistry-Biology-Mathematics

Group B: Physics-Chemistry-Maths-Comp-Science

26.

Second Language chosen under Part II (tick the relevant column)*

Malayalam

Hindi

French

27.

DD No*

28.

DD Date*

29.

Bank Name*

30.

Grade/Marks of Qualifying Examination(Self attested Photostat copies of the SSLC/Equivalent Examination to be enclosed)*

Subjects	Lang-1	Lang-11	Eng.	Hindi	Social Science	Phy.	Che.	Bio.	Maths	IT
Maximum Score
Score obtained
Grade