SRI VISHWAS VIDHYALAYA AFFILIATED TO CISCE, NEW DELHI. AFFILIATION CODE: TN096 Vishwas Nagar, Pannaimoondradaippu – 626 129. Thiruchuli Taluk. 1. Name of the Pupil 2. Date of Birth 3. Nationality and State to which the Pupil belongs 4. Religion and Community (This information is intended only for statistical purpose) 5. Does the candidate belong to Scheduled Caste or Scheduled Tribe or other socially and educationally backward classes specified in the Tamil Nadu Educational Rules or is he a convert from the concept from the Scheduled Caste or the Scheduled Tribe? If so, please specify 6. Whether living with parent or guardian and local residence if not living with parent or guardian 7. a. Name of the Parent b. Occupation c. Full Address 8. a. Name of the Guardian b. Occupation c. Full Address 9. EMIS Number 10. Aadhar Number 11. Identification marks of the student 12. Class last studied, name of the school last attended and whether qualified for promotion 13. Previous school marks sheet if available. 14. Whether Record sheet / Transfer Certificate or Elementary School Leaving Certificate and (or) Record Sheet is attached Attach Record here 15. Class into which admission is sought 16. Mother tongue of the Pupil 17. Language proposed to be taken under Second Language. 18. Protection from small pox whether vaccinated or small pox marked 19. Previous school history of the pupil 20. Email Address of Applicant I declare that the statement above is correct and that the pupil has not attended any other school besides those mentioned above. I have read the prospectus of Sri Vishwas Vidhyalaya, Pannaimoondradaippu and request that my son/daughter/ward be brought up in accordance with the principles enunciated therein. I undertake to make payment of fees in advance, settle all other accounts within the prescribed time and abide by all the rules and regulations laid down in the prospectus and other rules & instructions laid by the school authorities from time to time. I declare that I will not ask for a change in date of birth in the future. Station : Date : X Sign below Signature of the Parent / Guardian For Office Use only Admission No. Payment Details:____________________________ Date : ________________________ Admission Test for Class:______________________________________________________ Admission Granted into class:__________________ Date : _________________________ Remarks: Principal
