St. Xavier s English Medium School
Halim Chowk , Kajlamani - Qadamrasool Road
Online Registraion Form
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DOB
Blood Group
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Nationality
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Religion
Caste
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GEN
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Handicap
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NA
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NO
YES
Place of birth
Mother Tongue
Name of School Last Studied
Class Last Studied
Date of leaving School
Photograph
Parent Details
Name of the Mother
Profession
Mobile No
Email Id
Mother Qualification
Name of the Father
Residential Address
Residence Tel
Mobile No
Email Id
Father Qualification
Place of Work
City
State
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Andhra Pradesh
Arunachal Pradesh
Assam
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Dadra & Nagar Haveli
Delhi
Jammu and Kashmir
Lakshadweep
Puducherry
Ladakh
BANGAL
Contact No(INDIA)
Remark if any
School Transport Needed
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No
Yes
Whether the candidate is
Single Girl Child
Specially abled (Divyangjan)
Belonging to the EWS
Specially abled (Divyangjan)
Belonging to the EWS
Adhar No
Scan copy of Adhar
Last School affiliated is
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Result of last class/Pre Board
Subject
Maximum Marks
Marks obtained
% of Marks
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Total
Year of passing
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2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Remark on Passing
Transfer Certificate No
Date of Issue Certificate
Course opt for class XI
PCM
PCB
COMM
HUMANITIES (ARTS)
Subject Opted
Compulsory Subject
Additional Subject Optional
Subject1
Subject2
Subject3
Subject4
Subject5
Subject6
Details of siblings(if any)
Admission No
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