(Recognised by Govt. of Tamilnadu)
#8, Ponniamman Koil Street, Hasthinapuram, Chennai-600064.
Phone: 044-2223 0170, 044-2223 1864
Email: shikshaaschool@yahoo.com, shikshaamatric@gmail.com

Application Form for Admission
Select Class :
LKG To IX   XI
Name of the Candidate (in Block Letters) : *
Date of Birth :*
Ex. dd/mm/yyyy
Age :
Ex. 10 Years 3 Months
Place Of Birth :
Parent / Guardian Details Father / Guardian Mother
Name
Educational Qualification
Occupation
Income Per Month
Language Known to Speak
Nationality :
Religion :
Gender :*
Male     Female
Residential Address * Parent / Guardian's Office address
Telephone No. Telephone No.
Mobile No. * Mobile No.
Email * Email
Mother Tongue :
Community :*
OC     BC     MBC    SC    ST
Caste :
Last School and Class attended by the Candidate :
Class to which admission is sought : *
Is any of the applicant's relatives studying / studied in this school?, If yes, give the Particulars
Name
Relationship
Class-Sec
Year
Marks obtained in class X Public Examination
Register No. Year of Passing Subjects Marks Obtained
Total
Groups chosen for Study: *
Group I - A    : Physics, Chemistry, Computer Science and Mathematics.
Group I - B    : Physics, Chemistry, Biology and Mathematics.
Group III - A : Commerce, Accountancy, Economics and Computer Science.
Group III - B : Commerce, Accountancy, Economics and Business Maths.
Certificates to be attached / To be submitted at the time of admission :
BIRTH CERTIFICATE (Attested Xerox Copy)
(Original to be shown) - (Jpeg/Png Format)
TRANSFER CERTIFICATE (Original)
In case of T.C., from CBSE or other District / State, the TC should be countersigned by the concerned Educational Authority - (Jpeg/Png Format )
MARK SHEET - (Jpeg/Png Format)
COMMUNITY CERTIFICATE - (Jpeg/Png Format)
AADHAR CARD - (Jpeg/Png Format)
Declaration
I declare that the particulars given above are correct and true to the best of my knowledge. I undertake that, my ward will abide by the rules & regulations of the school, and I agree to discharge all obligations imposed on me as parent / guardian of the child, I further declare that I have no dues to be paid to any other institution
I declare that I will not ask for a change in date of birth any time in future.

Place*
Date*