1. Name of the Pupil (In English): *

2. Name of the Pupil (In Tamil):

3. Date of Birth:*

4. Aadhaar Number:

5. Nationality and State:

6. Religion:*

7. Does the candidate belong to SC/ST/BC/OBC/MBC/BCM/Others:*

8. Whether living with parent or guardian:*

9. Blood Group:*

10. a. Name of the Father:* b. Name of the Mother:* c. Name of the Guardian: d. Full Address:* e. Phone/Cell No.:*

11. Class last studied, name of school, and whether qualified for promotion:

12. Whether Transfer Certificate is attached below the form: Yes No

13. Class into which admission is sought:*

14. Mother tongue of the pupil:

15. Language proposed to be taken under second language:

16. Protection from small-pox (vaccinated/small-pox marked): Yes No

17. Previous school history of pupil:

Attach Photo (Image only):*

Attach Transfer Certificate (PDF/Image):