SFS PUBLIC SCHOOL & JUNIOR COLLEGE, ETTUMANOOR Application No: (Affiliated to CBSE, Delhi, No: 930529) ETTUMANOOR PO, KOTTAYAM – 686 631, PHONE: 0481-2533874, 2534982
APPLICATION FOR ADMISSION TO AISSCE Course 20____ - 20____ (Please tick appropriate columns and fill the application form in block letters)
SSLC ICSE CBSE Marks Out of
Strea Affix passport size photo Stream chosen
1. Name of the student:
2. Medium in the last School 3. Sex: Male Female
4. Date of birth: Date Month Year 5. Blood Group
6. Nationality 7. Religion
8. Community 9. OBC OEC SC ST
10. If Catholic, specify parish
11. Aadhaar No: Email ID
12. Permanent Address
Pin Code Mobile No:
13. Address for correspondence
Pin Code Mobile No:
14. Mother tongue
15. Name of the school last attended
16. Board that school is affiliated to:
17. Specify the qualifying examination with Reg. No: & Year
18. Name of Father
Mobile No:
19. Educational Qualification 20. Occupation
21. Annual Income in Rs.
22. Name of Mother
Mobile No:
23. Educational Qualification 24. Occupation
25. Name of Local Guardian
Mobile No:
26. Relationship with Local Guardian
27. Occupation of Local Guardian
28. Address of Local Guardian
Pin Code Phone No:
29. Residing in hostel Yes No Name of the Hostel
Phone No:
Marks obtained:
SUBJECT CBSE ICSE SSLC % OF MARKS
ENGLISH
Physics
SCIENCE Chemistry
Biology
SOCIAL SCIENCE
MATHEMATICS Stream Offered:
PCMB STREAM I (English Core, Physics, Chemistry, Biology & Mathematics) PCBC STREAM II (English Core, Physics, Chemistry, Biology & Computer Science) PCMC STREAM III (English Core, Physics, Chemistry, Mathematics & Computer Science) Commerce with Mathematics STREAM IV (English Core, Accountancy, Business Studies, Economics, Mathematics / Applied Mathematics) Commerce with Computer Science STREAM V (English Core, Accountancy, Business Studies, Economics, Computer Science)
ELIGIBILITY FOR ADMISSION A student who has passed All–India Secondary School Examination (CBSE) or Indian Council for Secondary Education (ICSE) Examination or Secondary School Leaving Certificate Examination (SSLC) or any other equivalent examination is eligible for admission to the AISSCE course.
DECLARATION BY THE APPLICANT 1. I undertake to abide by the rules and regulations of the Junior College in respect of academics, sports, co- curricular activities, code of conduct and discipline and moral education as explained in the prospectus.
2. In the event of any act of indiscipline on my part, the decision of the Principal shall be final and binding on me.
I endorse the above statements. ………………………………………………………………………………
…………………………………………………………….. (Applicant’s signature with date) (Parent’s signature)
Place: ………………………………… Date: …………………………………
Documents to be submitted along with the Application Form 1. Attested mark list of the qualifying examination (Class X) 2. Character and Conduct certificate from the parish priest (for Catholic students only) 3. T.C. 4. Three copies of passport-size photograph.
For Office Use Only
Admn No: : ………………………………………………………..
Stream selected : ………………………………………………………..
Date : ………………………………………………………..
Principal
GUIDELINES FOR INTERVIEW AND ADMISSION
1. Applicants short–listed based on merit marks, Board Exam result and performance in the
Entrance Test shall be called for interview.
2. Candidates must produce the original mark sheet of Std X examination at the time of
interview.
3. Candidates selected for admission to Class XI must pay the first installment of fees at the
time of admission. Fee, once paid, will not be refunded.
4. Parent must accompany the candidate for the interview.