HARI OM

AVM RAJESWARI The School For Greater Values

- A Matriculation Higher Secondary School
(Recognised by Government of Tamil Nadu).
No. 10, AVM Nagar, Ist Street, Virugambakkam,
Chennai 600 092. Ph : 2376 6056

REGISTRATION FORM
Affix
recent
passport size
photo

Register No.:.
(To be filled by School)

Academic Year:..

1.

Name of the Pupil

(Capitals with Initials last)

: ..

2.

Date of Birth
(Attach Photocopy of Birth certificate)

: . Age.. as on 30th June

3.

Nationality / Religion / Caste

4.

Class for which admission is sought

5.

Name of the Previous School Studied

6.

Class in which Studied, Year

:
(Please attach photocopies of Previous years performance Record / Report Card)

7.

Residential Address

.. Phone

8.

Name of the Father

Educational Qualification

Occupation

Office Address

Phone

Name of the Mother

Educational Qualification

Occupation

Office Address

Phone

9.

10.

Name of Brother / Sister

Studying in this school

11.

Position of child in the family

: FIRST / SECOND / THIRD

12.

Annual Income of family

Signature of Father

Signature of Mother
(PTO)

FOR OFFICE USE ONLY

NAME

ADMISSION SOUGHT FOR

INTERVIEW DATA & TIME

WHETHER APPEARED FOR

INTERVIEW / ENTRANCE TEST

MARKS OBTAINED (STD I TO IX)

ENGLISH

II LANG (TAMIL / HINDI)

MATHS

RESULT

SELECTED /

NOT SELECTED

REMARKS OF THE PRINCIPAL:

SIGNATURE

Note:

Please submit the download registration form to the school.

Registration will be received in the school subjected to the availability of seats.