Admission Form – Immanuel Mar Thoma Central School

Application for Admission

Name of people in caps *

Age and Date of Birth

Gender *

Male
Female

Name & Occupation of Father *

Name & Occupation of Mother *

Permanent Address of Parents *

Parent's telephone number

Name & Occupation of Local guardian *

Relationship with Child *

Address of Guardian *

Guardian's telephone number

Religion & Denomination *

Nationality *

Does the candidate belong to the Scheduled Caste or Scheduled Tribes or other backward community

Standard to which admission is sought (in figures and words) *

School last attended with class *

Date and No. of T.C

Identification Marks *

Aadhar No: *

For STD: IX-X IInd Language *

Hindi
Malayalam

Name of Brothers or Sisters studying in this School

Do you require School bus facility ?

Specify the boarding pont

I do hereby declare that the particulars enetered in this form are true to the best of my knowledge and belief and I also undertake that my ward/son/daughter will abide bythe rules of discipline of the School. I understand that if the information is found to be incorrect or false, the ward shall be automatically debarred from the admission process without any correspondence in this regard

Name & Signature of Parent/ Guardian

Application for Admission

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