St.Mary's English Medium School Mavoor

Class to which admission is sought

Name

Date of Birth(DOB)

Birth Certificate

Gender

Male Female

Nationality

State

Aadhar Number

Aadhar Card

Address

Pin Code

Religion

Caste

Whether the pupil belongs to

SC ST OBC OEC

Previous School Attended

Residence Phone Number

Emergency Contact Number

Email ID

Upload Photo

Parent Details

Father's Name:

Mother's Name

Payment Details

Payment Amount (Admission fee + 1 st Term)

Account Details

Account Name	:	ST MARYS ENGLISH MEDIUM SCHOOL
Account Number	:	01730110047941
Bank Name	:	UCO BANK
Branch	:	MAVOOR
IFSC Code	:	UCBA0000173

Payment Mode

Transaction Id

Declaration of the parent

I, hereby, declare that, the entries made by me in the Application Form are complete
and true to the best of my knowledge and based on records