Online Admission

1. Admission sought to :

Class

Session 2021

Attach your recent Colour Photograph

Maximum upload size: 268.44MB

2. Child's Name (Block Letters)

Date of Birth (in figures)

3. Date of Birth (in Words)

4. Age, as on 1 July

Years

Month

5. Religion

Category

Mother Tongue

6. Father's Name (Block Letter)

Occupation

Phone No:

Mobile No

Office/Business Address

7. Mother's Name (Block Letter)

Occupation

Phone No:

Mobile no

Office/Business Address:

8. Guardian's Name(Block Letter)

Occupation

Phone No:

Mobile no

Relation with Child

Office/Business Address:

9. Address (Correspondence/ Present)

Address (Permanent)

Details of last school attended (if applicable)

a. School Name

Class

b. Proficiency in Sports/ co-curricular (Music/Dance)/ any outstanding achievement

c. Details of Marks/ Grade obtained in the last Annual/Pre Board Examination. Class I to X (copy of the previous Progress Report to be attached)

1st Language

2nd Language

3rd Language

Mathematics

Science

Social Science

Any other Subject

d. Stream offered (Std. XI & XII)

Science

Elective: Maths/ Biology/Comp. Sc./Phy.Edu.

Commerce

Elective: Maths/ Comp. Sc./Phy.Edu.

11. Hostel accommodation Required

12. Any information regarding the child's health (special medical conditions, allergies etc.)

13. Annual Income of Parents (must be completed) Approx

14. If any siblings (real brother or sister ) already studying in the School :

i) Name of the Child

Class

In case of Staff Child, Name of the Parent working in St. Xavier International School,

Designation

Branch

[The School provides transport facility but offers no guarantee that a seat in the School bus will be available, when the buses are full to capacity/ do not
ply in the area of your residence. It will be the responsibility of the Parents/ guardians to drop & pick up the child from the specified bus stop.]

DECLARATION

I hereby certify that the above information is correct to the best of my knowledge and belief. If found false on a later date, the admission stands cancelled. The acceptance of this Registration form of my ward by the school authority does not guarantee confirmed admission. Fees once deposited is non-refundable.

Date:

Signature of Parent/Guardian

Admission Form