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(Dr.K.M. Cherian Educational Society)

Mathur Road, Kalapet,
Pondicherry - 605 014.
Phone:0413-2655355,2655353 FAX:0413-2655354
Website:www.lecoleinternationale.edu.in

Photo of the Student

Date of Issue:

Application No:

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FOR OFFICE USE ONLY


Selected/Not Selected:

House:

Admission No:.............................

Admission Date:...........................

Fee Reciept No:...........................



Signature of Principal

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APPLICATION FOR ADMISSION TO SENIOR SECONDARY CLASS


Personal Details


Name of the Candidate: *
Class of Joining:
Date of Birth: *
Mothertongue: *
Sex: Male Female *
 
Area: Rural Urban *
 
Community: GEN SC ST OBC *
 
Disabled: Physically Handicapped Visually Impaired Hearing Impaired
Father: *
Father's Name:
Education Qualification: Occupation:
Annual Income: Phone No:
Mother: *
Mother's Name:
Education Qualification: Occupation:
Annual Income: Phone No:
Guardian:
If staying with guardian
Name: Relation:
Postal Address for communication: *
Institution last attended: *
Syllabus of study: *
Examination Passed: * Year of Passing: *
Div/Grade obtained: * Reg No: *
*
Examination
Subjects
Max.Marks
Marksobtained
%age of Marks/Grade
Remarks
High School (Class - X)
Hindi
English
Maths
science
social

Total/Cgpa:

Proficiency in Co-curricular activities(specify):
Groups that are offered:* English,Physics,Chemistry,Biology,Mathematics/Computer Science/Psychology
 
English,Physics,Chemistry,Mathematics/Computer Science
 
English,Accountancy,Business Studies,Economics,Mathematics/ComputerScience/Entrepreneurship/Psychology
 
English,Psychology,Sociology,Political Science,Multimedia and Web Technology
 
English,Psychology,Sociology,Political Science,Economics
 


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