Application Form

	HARI SRI VIDYA NIDHI SCHOOL     PUNKUNNAM, THRISSUR- 680 002, KERALA     APPLICATION FOR PROVISIONAL ADMISSION TO STANDARD XI           1.   Name of the applicant (in block letters)   *   2.   Sex ( Male/Female) MaleFemale   3.   Date of Birth- In figures  *   In words   4.   a)Name of parent/ guardian  *     b)Occupation   *       c)Address for Communication  *       d)Contact Phone Number  Mobile 1 :      *    Land Line        5.   Name of the school last studied  *       Year of passing   *       Percentage of final Average     6.   Semester1 Marks     English  *       Maths  *       Science       Commercial Studies       Social Studies  *        Specify Optional Subject  *    *           Second Language in Class X  *     *     ( Original mark list to be produced at a later date )   CHOICE OF SUBJECTS     All candidates for the Board Exam must appear for five subjects     Common to all: ENGLISH LANGUAGE & LITERATURE   GROUP- A   GROUP- B  GROUP- C SCIENCE COMMERCE  HUMANITIES   1.Physics  1. Accountancy 1. History 2. Chemistry 2. Commerce 2. Political Science   3. Economics 3. Sociology       Optional Combination Subject- any one Optional Combination Subject- any one Optional Combination Subject- any one       Mathematics and Biology Mathematics and Computer Science Mathematics and Art Mathematics and Physical Education Biology and Psychology Biology and Art Mathematics Physical Education Art Malayalam Mathematics Psychology Physical Education Art Malayalam Economics           In case there are not enough takers for a particular subject, the same will not be offered.         1st Choice     2nd Choice     3rd Choice    ---Select First Choice--- SCIENCE COMMERCE HUMANITIES           ---select second choice---             ---select third choice---               7.   Extra curricular activities & Interests:(Certificates to be produced at the time of interview)   8.   Career Aims/ Intended profession   (Admission to ISC level will be based on the Board Examination marks and fluency in spoken English. Internal assessment of general behavior will be given weightage.)   DECLARATION  I declare that all the particulars stated above are correct. I also undertake to obey and abide by the rules of the school in force from time to time, in letter and spirit and to carry out the instruction of the authorities without fail. I also undertake not to indulge in any activity detrimental to the discipline, smooth working and fair name of the school. I assure you that I will not induce or assist others in activities which are tantamount to questioning or challenging the rules and regulations of the institution.   Place: Date:  Name of Applicant       I certify that the particulars furnished by my son/ daughter/ ward in the application are correct and that they are supported by authentic documents. I understand that admission to this Institution is provisional, subject to the Council granting the eligibility. I undertake the responsibility for his/ her conduct and behaviour. I shall keep myself informed of my son’s/ daughter’s/ ward’s activities and progress in studies by keeping in touch with the school authorities. Name of Parent/ Guardian with date: