ST. JOHNS ACADEMY

Affiliation No.931232 John-Haw Service Society (Reg.No.91/94) Vettukad P.O 680 014, Thrissur (Dist), Kerala
SESSION 2020-20

APPLICATION FOR ADMISSION

Class

1. Name of the Pupil

Educational qualification

Occupation

Address Residential

Phone

2. Name of the Guardian in case pupil does not live with his/her PARENTS

3. School previously attended

4. Date of Birth

Whether certified extract from register of Birth/declaralion from the parents or guardian/ certificate from the registered Medical Practitioner has been produced (vide Rule Vl-l-(Ol)

Place of Birth

Two marks of personal identification

Sex

5. Nationality

6. Mother tongue of the pupil

7. No & date of transfer certificate

Declaration Date: 9/24/2020 9:43:26 AM