Form No. ……./2020

APPLICATION FORM FOR ADMISSIONGOOD SHEPHERD

HIGHER SECONDARY SCHOOLJONGKSHA

CLASS XI (ARTS) - 2020

1. Full Name of the Applicant (IN BLOCK LETTER) :-

2. Father’s Name (IN BLOCK LETTER) :-

3. Mother’s Name (IN BLOCK LETTER):-

4. Name of the school last attended (IN BLOCK LETTER):-

Pin Code

5. Postal Address of the Parents/Guardians (IN BLOCK LETTER):-

Pin Code

Contact No:

6. Occupation of Parents:-

7. Religion (Mention whether Catholic, Christian, Hindu, Muslim, etc.)

8. Write / tick (√) the criteria given in the box given below:-

GENDER CATEGORY COMMUNITY

ST SC OBC General

Space for photograph(Compulsory for all)

Do not pin or stable

Paste one recentpassport

Size photo

9. Date of Birth:- ( Birth Certificate to be attached)

(Date) (Month) (Year)

10. Brother / Sister studying in Good Shepherd:-

Brother’s Name: ............................................................................................... Class: ...........Section: ...............

Sister’s Name: .................................................................................................. Class: ...........Section: ...............

...................................... ..................................... Student’s Signature Parent’s Signature

(For office use only)

APPROVAL FORM

Name of the applicant: .............................................................................................................................................

Admitted/Rejected: ....................................................................... in Class ...........................Roll No .....................

Date of Admission .........................................................................

Admission No. ...............................................................................

......................................... Signature of Principal

Documents to be submitted along with the application form:

1. Birth Certificate2. Marksheet of Class X3. Transfer Certificate ( TC)