CHRIST ACADEMY
Plot No.5, Sector 23, Koparkhairne, Navi Mumbai – 400 709
APPLICATION FOR ADMISSION
Session 2022 – 2023
SR. NO.
G.R.No.
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KINDLY FILL IN BLOCK LETTERS:
1. Details of Candidate
For School:
--Select--
CHRIST ACADEMY ICSE/ISC
CHRIST ACADEMY SSC/HSC
*
Category(quota) :
Management
In-house
Minority
Admission Online
Stream :
--Select--
*
Subjects :
Name of the Candidate:
Surname
*
Name
*
Father’s Name
Parent's Email Id
Gender
Male
Female
Date of Birth (In
figures
)
*
(In words)
*
Place of Birth
Mother Tongue
Religion:
, Caste:
(attach copy of cast certificate)
Nationality
Name of School last attended
Adhar Card No
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
*
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
Date of Birth
Religion
Academic Qualification
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
i.
ii.
iii.
6. Whether your child will avail of the school transport
YES
NO
7. Blood Group of the Child
8. Preliminary/std 10 Exam Marks
Subject
Mark
Subject
Mark
i.
vi.
ii.
vii.
iii.
viii.
iv.
ix.
v.
x.
Percentage of Total Mark