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QUEST FOR EXCELLENCE

QUEST FOR EXCELLENCE SOUNDARARAJA VIDYALAYA (Affiliated to the Central Board of Secondary Education, New Delhi) Natham Road, Dindigul - 624 003. Phone : 2471700 1. Name of the child Registered ___________________________________________________________________ 2. Class for which registered ____________ 3. Registration No. ____________4. Date of Registration___________ Note : REGISTRATION FORM FOR ADMISSION 1. The completed Registration form should be submitted in person at the Vidyalaya office on or before _____________________ along with other enclosures indicated in Note No. 2 2. Every Registration Form must have the following documents as enclosures. a) Proof of Age in respect of all children who seek admission. This can be a photocopy of a certificate issued by the Competent Revenue authority or by the Head of the School where the child was studying prior to admission formalities. b) A Course certificate from the Head of institution where the child was studying prior to the admission formalities stating the class of study with Statement of Marks for I and II Terminal Examinations. c) Attached student profile duly completed. 3. A Photocopy of the statement of Annual Marks / Board Examination as the case may be will have to be produced later to be eligible for being called for Admission formalities. 4. Please enter details in full specific terms for the Registration form and other enclosures. Vague and incomplete details will lead to rejection of the request to Register the child for Admission formalities. Dear Sir, Kindly register the name of my son / daughter / ward for admission formalities of your Vidyalaya for the session beginning in June ______________________ in Class _________________________________________________________________ I furnish below the necessary details for registration to admission formalities. I am aware that admission is subjected to all formalities that the Vidyalaya will deem fit and required including, fulfilling prescribed age limit and the number of places available and that the Vidyalaya authorities have the right to reject this application without assigning any reason whatsoever. Station : _____________________________ ______________________________________ Signature of the Parent / Guardian Date : _____________________________ ______________________________________ (Name in Block Letters) 1. Name of the Child (in Block Letters) _____________________________________________________ 2. Expansion of the Initials ______________________________________________________ 3. Date of Birth (in words & figures) ______________________________________________________ 4. Place of Birth Village / Town _________ Taluk _________________________ District ________ State ___________________________________ 5. Class to which admission is sought ______________________________________________________ 6. i) Whether the child belongs to SC / ST / Most Backward Class / Backward Class YES / NO ii) If yes, indicate details ______________________________________________________ 7. a) Name of the Mother / Guardian ______________________________________________________ i) Occupation of Mother / Guardian ______________________________________________________ (Please specify the name of Profession / Business) b) Name of the Father / Guardian ______________________________________________________ i) Occupation of Father / Guardian ______________________________________________________ (Please specify the name of Profession / Business) ______________________________________________________

ii) Full address with Telephone Number ______________________________________________________ ______________________________________________________ a) Business / Office ______________________________________________________ ______________________________________________________ b) Residence ______________________________________________________ ______________________________________________________ ______________________________________________________ 8. Address to which communication, if any can be sent with Telephone No. ______________________________________________________ ______________________________________________________ ________________________ Pin ___________________________ Telephone No. ___________________________________________ 9. Mother Tongue of the Child ______________________________________________________ 10. Particulars of the school last attended by the child ______________________________________________________ S.No Name of the School Studied Class in which Studied Year in which that class was studied Whether promoted to next class or not Medium of Instruction 11. Does the child seeking admission, have any brother / sister already studying in the Vidyalaya? YES / NO ______________________________________________ If Yes. Specify Name & Class in which they study 12. Has the child been a candidate for admission to this Vidyalaya Previously ? If, so a) Class in which the admission was sought ______________________________________________ b) Year in which the admission was undertaken ______________________________________________ c) Class / Classes studied with year / years ______________________________________________ 13. Will the child, if selected for admission stay with Parents or Guardian in Dindigul ? ______________________________________________ 14. To be filled in only in the case of those children who seek admission in class XI. The following groups are available for study. Please put a tick mark against the group you would like to request for admission. *Group A English, Physics, Chemistry, Mathematics, * Biology or Computer Science. *Group C English, Business Studies, Accountancy, Economics, *Mathematics or Computer Science. * Strike out whichever is not applicable DECLARATION BY THE PARENTS / GUARDIAN We ____________________________________________________________________________________________________ ________________________ Parents / Guardian of ______________________________________________________________ ________________________ hereby solemnly affirm that we have read the propectus of Soundararaja Vidyalaya, Dindigul and undertake to abide by the rules and regulations of the Vidyalaya, that will be inforce from time to time if our son / daughter / ward * is admitted in the school. We are fully aware that in the event of violation of any of the rules, regulations and instruction of the Vidyalaya, that will be in force from time to time, the Vidyalaya authorities have the unquestionable right to take any action against our son / daughter / wards * including expulsion from the Vidyalaya without assigning any reason whatsoever. We also undertake to pay the prescribed fees on admission and thereafter other payments as will be required by the school in the event of child being selected for admission. We agree to the condition that Payments once made to the Vidyalaya under no circumstances will be refunded or adjusted. ______________________________________ Signature of Mother ______________________________________ Signature of the Father / Guardian ______________________________________ (Name in Block Letters) Date ________________________________ * Strike out whichever is not applicable ______________________________________ (Name in Block Letters) Place _________________________ FOR OFFICE USE ONLY 1. Registration No. ________________________________________________________ 2. Class for which Registration is made ________________________________________________________ 3. Remarks if any ________________________________________________________

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