CARDINAL PADIYARA PUBLIC SCHOOL & JUNIOR COLLEGE
(Affiliated to C.B.S.E Delhi, No.930507)
MANIMALA P.O, KOTTAYAM DT,KERALA-686 543
APPLICATION FOR ADMISSION TO A.I.S.S.C.E COURSE 2008-2009
1.

Name of the applicant in full (in block letters)

2.
a) Name of Father
b) Occupation
3.
a) Name of Mother
b) Occupation
4. Date of Birth ( In figures)
5. Group to which admission is sought.Select your choice

1

Mathematics

Physics

Chemistry

Computer

2

Computer

Physics

Chemistry

Biology

3

Malayalam

Physics

Chemistry

Biology

6. Nationality
7. Religion & Community
8.

Does the candidate belong to SC/ST/OBC

9. Address of applicant with PIN code to which communication may be send.

Telephone no. with STD code

Mobile No.

10. School from which the candidate passed the Class X Examination
11. Details regarding examination Passed
CBSE ICSE SSLC OTHER
 
 
 
 
 
 
a) Name of the examination (Tick)
b) Register Number
c) Month & Year of Passing
d) Medium of Instruction
e) Whether a menber of Scout,Guide etc

 
12 Details of Marks Scored in the Qualifying Examination
Sl.No Subject Marks Scored Max. Marks % of Marks
01 English
02 Malayalam
03 Hindi
04 Mathematics
05 Science
06 Social Science
07 Additional subjects if any
  TOTAL
DECLARATION BY THE APPLICANT

I hereby declare that the particulars given above are true to the best of my knowledge and behalf and that I agree to submit myself to all the rules and regulatons of the school which are in the force from time to time.

Station
Date Signature
   
.