The Indian Matriculatte School

Raja Nagar, Vadakkankulam, Tirunelveli Dist – 627116

Name Of the Pupil : *

Date Of Birth : *

Gender : *

Nationality / Region : *

Academic year to which admission in sought : *

Record Previous Schooling : *

School Attended : *

Class : *

Place : *

Name Of Exam Passed : *

Academic year : *

Name Of ther Board / Roll.no : *

Father's / Mother's / Guardian's Name :

Father's / Mother's / Guardian's Occupation :

Aadhaar No :

Tele. No : *

Address For Communication :

City Name / State :

Pincode :

Mobile No. Of The Parent: *

Declaration By the Applicant

I am hereby solemnly declare that the information furnished and the statements given in the application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the institution at whatever stage of study I may be, besides marking me liable for criminal prosecution.

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