St. Augustine

ST.AUGUSTINE SCHOOL
(Affiliated to council for the indian school certificate examinations, new Delhi)

Upper Sirubari, Giddha Pahar, Kurseong - 734203, Dt. Darjeeling, (W.B, Inida)

phone: +91 354 233 8121 (O), +91 98 201 4125, 985 137 1231, 980 085 3203

e-mail: augustinekurseong@gmail.com

BOARDER :

BRANCH :

GENDER :

NAME :

CLASS :

YEAR :

REGN NO :

DOB :

2ND LANGUAGE :

MOTHER TONGUE :

RELIGION :

CASTE :

FATHER NAME :

MOBILE NO. :

MOTHER NAME :

MOBILE NO. :

ADDRESS :

EMAIL :

LAST ATTENDED SCHOOL :

STUDIED UPTO -- BOARD :

STUDIED UPTO -- CLASS :

LOCAL GUARDIAN :

MOBILE NO. :

ADDRESS :

STUDENT HEALTH / ECA :

HEALTH DETAILS :

PRESENT WEIGHT :

PRESENT HEIGHT :

BLOOD GROUP (PATHOLOGICAL REPORT) :

MEDICAL PROBLEM (IF YES, SPECIFY) :

EXTRA CIRRICULAR ACTIVITIES :

MUSICAL ACTIVITY (IV - IX) :

PHYSICAL ACTIVITY (IV - IX) :

HOBBY :

PHYSICAL ACTIVITY (IV - IX) :

DOCUMENTS TO BE SUBMITTED WITH THE FORM

(FOR K.G. TO IX)

1. 3 PASSPORT SIZE PHOTOGRAPHS(COLOURED)

2. LAST SCHOOL REPORT CARD

3. TRANSFER CERTIFICATE(ORIGINAL)

4. CHARACTER CERTIFICATE

5. MEDICAL FITNESS CERTIFICATE

6. BIRTH CERTIFICATE(XEROX)

(FOR CLASS XI)

1. 3 PASSPORT SIZE PHOTOGRAPHS(COLOURED)

2. CLASS 10 ADMIT CARD

3. MARK SHEET

4. MIGRATION CERTIFICATE(OTHER BOARD)

5. CHARACTER CERTIFICATE

6. TRANSFER CERTIFICATE(ORIGINAL)

7. MEDICAL FITNESS CERTIFICATE

8. BIRTH CERTIFICATE(XEROX)

ST.AUGUSTINE SCHOOL (Affiliated to council for the indian school certificate examinations, new Delhi)

Upper Sirubari, Giddha Pahar, Kurseong - 734203, Dt. Darjeeling, (W.B, Inida)

phone: +91 354 233 8121 (O), +91 98 201 4125, 985 137 1231, 980 085 3203

e-mail: augustinekurseong@gmail.com

STUDENT HEALTH / ECA :

HEALTH DETAILS :

EXTRA CIRRICULAR ACTIVITIES :

DOCUMENTS TO BE SUBMITTED WITH THE FORM

(FOR K.G. TO IX)

(FOR CLASS XI)

ST.AUGUSTINE SCHOOL
(Affiliated to council for the indian school certificate examinations, new Delhi)