Admission Registration Form

• Registration, once completed for a particular year, is non-transferable to any other year or to any other child.

• Issue of Registration Form does not Guarantee Admission.

• Please attach the attested copy of Municipal Birth Certificate.

• Please attach a copy of the attested Marksheet of previous passed examination.

• Incomplete registration form will not be accepted and admission may get rejected.

• It is mandatory to attach all the enclosures aforementioned.

Admission for Class *SelectPre-NurseryNurseryJRMSRMIIIIIIIVVVIVIIVIIIIXXXIXII

Gender *MaleFemaleOther

Student's Name *

Address *

Contact Number *

Religion *HinduMuslimChristianSikhBuddhistJainParsiOther

Name of the school presently studying. ( if applying for Pre-Nursery or Nursery, please write " Not Applicable")*

Whether affiliated to CBSE or any other board (If applying for Pre-Nursery or Nursery, please write "Not Applicable"). *CBSEICSEMP BoardOtherBus Facility Required *YesNo

Father's Occupation *SelectPrivate JobGovt. JobDefence ForcesSelf EmployedDoctorNoneOthers

Name of Organization (Father) *

Father’s Qualification *

Father's Contact Number *

Father's Email ID

Mother's Occupation *SelectPrivate JobGovt JobDefence ForcesSelf EmployedDoctorHomemakerOthersNone

Name of Organization (Mother) *

Mother's Qualification *

Mother's Contact Number *

Mother's Email-Id

The Parents are *MarriedDivorcedSeparatedWidowed

Child Lives with *Both ParentsFatherMotherGuardian

Sibling studying in San Thome Academy or San Thome Public School Dewas (If Yes, Scholar No.)

If parent is Ex. Santhomian: Year of Passing

If Student is Ex. Santhomian, Scholar No.

Guardian's Name

Guardian Contact No.

Photo of Child

Child's Aadhaar Card

Birth Certificate *

Mother's Aadhaar Card

Father's Aadhaar Card

SSSMIDCaste Certificate

I agree to the below mentioned undertaking *—Please choose an option—YesNo

UNDERTAKING/DECLARATION:

• I completely understand that the school, on accepting the registration of my ward, is not in any way bound to grant admission. I also understand that the decision of the school regarding admission will be final and binding on me.

• I completely understand that San Thome Academy, Dewas has the rights to offer admission based on availability of seats.

• I hereby certify that the Date of Birth and spelling of name of my ward given in this form are true and correct and I shall not make any request for change.

• I undertake that the information / documents submitted in this form are true, correct and not misleading. No relevant information has been concealed. I understand that false or misleading information or withholding correct information may disqualify my ward for admission/education at this school.