Application Form: Please Take Printout in Legal Size Light Green Colour Bond Sheet Back and Back

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APPLICATION FORM

Please take printout in Legal size Light Green Colour Bond Sheet
back and back
Aadhar No.
Application No.
EMIS No.

LKG THE HINDU SENIOR SECONDARY SCHOOL


(A Unit of The Hindu Educational Organisation,)
No.1, 2nd Main Road, Indira Nagar, Chennai - 600 020.
XI Phone : 044-2490 1836, 2445 1693. Fax : 044-2490 2210,
e-mail : hsssindiranagar@gmail.com

Fee Remittance Date : ...........................................


APPLICATION FORM
(All the columns are to be filled in capital letters and submitted to the school office)

1. Name of the Pupil (In Block Letters)

2. Sex

3. Date of Birth : In figures

In words

4. Class into which admission is sought

5. Group Preferred for Class XI Science Group : Biology / Computer Science

Commerce Group : Maths / Marketing

6. Second Language opted

7. Class last studied

8. Whether qualified for promotion


9. Name & Address of the previous school

10. Whether Transfer Certificate /


Birth Certificate is attached
11. Details of parents Father Mother
i) Name
ii) Educational Qualification
iii) Occupation & Designation
iv) Annual Income
v) Office Address & Telephone No.

12. Residential Address & Telephone No. / Mobile No.

13. Details of brother(s) or sister(s) studied /


studying in this school (Name , Class, Year)

14. Nationality & State


15. Mother tongue
16. Religion (Specify whether the pupil belongs to
Backward Class, Scheduled Caste or Scheduled Tribe)

P.T.O.

?
Filled in Application received on..................................of Miss / Master .....................................................................
(Name of the pupil)
Application No. ................................Class ..............................................................................................................

Receiver’s Signature
Note
1. Please ensure that all the columns are neatly filled.
2. Duly filled in Application form along with the required documents and intimation card (Stamp worth
Rs.6/- to be affixed and address filled) should be returned to the school office on dates mentioned on the
notice board.
3. Issue of the Application Form does not guarantee allotment of seat.
4. The minimum age limit for admission to LKG, should have completed 3 years by 31st March 2021.

Declaration

I ...................................................................................., do hereby declare that the particulars

given above are true to the best of my knowledge and if any of the above particulars is not found to be true, the

admission may be cancelled. I have read the prospectus and agree to the terms and conditions mentioned

therein.

Place :

Date : Signature of Parent

Admission Details

Admitted to class ...................................................

Signature of Principal
Date :

Office :

Details of Fees paid : Amount................................................................ Date ......................................

Cash / Cheque No. ................................................. Dated ....................................

Drawn on .............................................................................................................

Clerk’s Signature

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