CKMNSS Senior Secondary School

Name of Pupil
(to be filled in block letters as on B.C.)

Date Of Birth(in figures)

Sex

Blood Group

Nationality

Religion/Caste

Candidate Belongs to

Aadhar No

Name of School last attended

Class to which admission is sought

Name & Class of Siblings Studying at CKMNSS (Optional)

Name of Father

Name of Mother

Mobile Number of Father

Mobile Number of mother

Occupation of Father

Occupation of Mother

Residential Address

Name of local guardian

Address of Local Guardian (If the student does not live with parents.)

Mobile Number of Local Guardian

I solemnly declare that the above particulars given are true and correct.

Father/Guardian name

Mother name

Father's/Guardian's Educational Qualification

Mother's Educational Qualification

Father's/Guardian's Email

Mother's Email

Father's/Guardian's Occupation

Mother's Occupation

Father's/Guardian's Mobile number

Mother's Mobile Number

Father's/Guardian's Residential Address

Mother's Residential Address

Father's/Guardian's Official Address

Mother's Official Address

Father's/Guardian's Annual Income

Mother's Annual Income

Result of last year

	Sl. No	Subject	Maximum Marks	Marks obtained	% of Marks	Remarks
	1

I hereby declare that the above information including Name of the Candidate, Father’s/ Guardian’s Name, Mother’s name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School.

Name of Father

Name of Mother

Occupation of Father

Occupation of Mother

Mobile Number of Father

Mobile Number of Mother

Father/Guardian Email

Mother Email

Father/Guardian address

Mother address

Father/Guardian Offical address

Mother Offical address

Father/Guardian Annual Income

Mother Annual Income

Residential Address

Name of local guardian

Address of Local Guardian (If the student does not live with parents.)

Mobile Number of Local Guardian

Class to which admission is sought

Details of Qualifying Examination

No.	Subject	Theory	I A / PR	Total Marks	Grade
1
2
3
4
5
6
7
8
9
10

Mark your choices in the order of preference (between 1 to 19).

a) Science Stream

Group 1) English, Physics, Chemistry, Maths, Computer Science

Group 2) English, Physics, Chemistry, Maths, Biology

Group 3) English, Physics, Chemistry, Biology, Psychology

Group 4) English, Physics, Chemistry, Biology, Bio-Technology

Group 5) English, Physics, Chemistry, Biology, Fashion Studies

Group 6) English, Physics, Chemistry, Biology, Physical Education

Group 7) English, Physics, Chemistry, Biology, Sanskrit/Bharathanatyam

b) Commerce Stream

Group 8) English, Accountancy, Business Studies, Economics, Maths

Group 9) English, Accountancy, Business Studies, Economics, Informatics Practices

Group 10) English, Accountancy, Business Studies, Economics, Legal Studies

Group 11) English, Accountancy, Business Studies, Economics, Psychology

Group 12) English, Accountancy, Business Studies, Economics, Physical Education

Group 13) English, Accountancy, Business Studies, Economics, Fashion Studies

Group 14) English, Accountancy, Business Studies, Economics, Sanskrit/Bharathanatyam

c) Humanities Stream

Group 15) English, Economics, History, Political Science, Maths

Group 16) English, Economics, History, Political Science, Informatics Practices

Group 17) English, Economics, History, Political Science, Psychology

Group 18) English, Economics, History, Political Science, Legal Studies

Group 19) English, Economics, History, Political Science, Physical Education

Group 20) English, Economics, History, Political Science, Fashion Studies

Group 21) English, Economics, History, Political Science, Sanskrit/Bharathanatyam

I solemnly declare that the above particulars given are true and correct.