Christ Academy
Plot No - 5, Sector - 23, Koparkhairne, Navi Mumbai - 400 709. Tel : 27549075 / 27544756
APPLICATION FOR ADMISSION
SNO.
Session 2021 – 2022
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KINDLY FILL IN BLOCK LETTERS
1. Details of Candidate
For School:
Select
ICSE
SSC/HSC
*
Class:
Select
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10
*
Name of the candidate:
Surname
*
Name
*
Father’s Name
Gender
Male
Female
Date of Birth (In
figures
)
*
(In words)
*
Place of birth
Mother Tongue
Religion:
Select
Bahai
Buddhism
Christian
Hinduism
Islam
Jainism
Judaism
Sikhism
Zoroastrianism
, Caste:
(attach copy of cast certificate)
Nationality
Adhar Card No
Details of Last School Attended :
Name of the School
Class
School address
Full residential address:
(Add1)
(Add2)(Locality, Post Taluka)
(Add3)(Dist, PIN)
2. Details of Parent (Father):
Name
Academic Qualification
Occupation & Designation
Name of present company/concern working
for
years and
months
Full office address
Telephone Number
, Mobile No
*
3.
Details of Parent (Mother):
Name
Academic Qualification
Occupation & Designation
Name of present company/concern working
for
years and
months
Full office address
Telephone Number
, Mobile No
4.
Details of Guardian ( If applicable):
Name
Mother Tongue
Religion
Occupation & Designation
Name of present company/concern working
for
years and
months
Full residential address
Full office address
Telephone Number
, Mobile No
5.
Brothers/Sisters studying in this school[attach photocopies of ID cards] :
Name
Standard
Section
i.
ii.
iii.
6. Whether your child will avail of the school transport
YES
NO
7. Blood group of the child