ST. Mary English Medium School Raipur | School in Raipur | Best School in Raipur, Chhattisgarh, India

Registration Form

Please read the following notes carefully before filling the Form.

• Form should be filled in CAPITAL letters by the parents. No blank fields should be left in the form.

• The personal details (such as Date of birth, Spelling of Name, Surname, Caste etc.) should match with student’s previous School Leaving Certificate (TC) and other documents. The details as per previous school TC will be considered as final.

• Attach the latest mark sheet / statement of Pre-Board Marks, Aadhar Card and Birth Certificate.

• If the student is eligible for the scholarship (ST/SC/OBC) please attach Caste Certificate of the student.

Student's Information

First Name *

Middle Name

Last Name

Please:- No abbreviations should be used while writing the name of child and should match with the Aadhar Card and Birth Certificate

Gender *
Male Female

DOB *

Mother Tongue:*

Please:- Date of Birth should match with the Aadhar Card and Birth Certificate

Blood Group *

Aadhar Number *

Select Religion: *

Caste Category *

Admission Require for Class *

Medium Current School : *

Last Class Passed:

Name of Prev. School:

Prev. School Address:

Medium of Prev. School:

Grade/Percentage:

Parent's Information

Father's Name *

Academic/ Qual.

Father's Occupation *

Designation

Father's Annual Income *

Father's Aadhar Number *

Father's Mobile No. *

Father's Email Id *

Mother's Name

Academic/ Qual.

Mother's Occupation

Designation

Mother's Annual Income

Mother's Aadhar Number

Mother's Mobile No.

Mother's Email Id

Upload Student Photo *

Upload Only JPG or JPEG or PNG only and Not more than 220kb

Upload Student Aadhar Card *

Upload Only JPG or JPEG or PNG OR PDF Format only and Not more than 220kb

Upload Student Birth Certificate *

Upload Only JPG or JPEG or PNG OR PDF Format only and Not more than 220kb

Upload Student Transfer Certificate

Upload Only JPG or JPEG or PNG OR PDF Format only and Not more than 220kb

Upload Student Previous Marksheet

Upload Only JPG or JPEG or PNG OR PDF Format only and Not more than 220kb

Other Information

Details of real brothers and sisters of the student :

1
2
3

Health :

Does your child have any vision problem ? Yes No

your child have any hearing problem ? Yes No

Contact Information

Present Address *

Country *

State *

City *

Pin code *

Same as Above.

Permanent Address *

Country *

State *

City

Pin code

new admission

Registration Form