Provisional Registration Form - St. Anthony's Senior Secondary School

Important: Registration does not guarantee admission. Final admission is subject to verification of documents, eligibility criteria, and seat availability.

SECTION A: STUDENT DETAILS

Full Name *

Gender *

Male Female Other

Date of Birth *

As per HSLC Admit Card

Mobile Number *

Applicant Email *

Aadhaar Number

APAAR Number

PEN (Permanent Edu. No)

Identification Mark

SECTION B: ACADEMIC DETAILS

Board/Council Appearing *

ASSEB

CBSE

Other

Board Registration Number

Examination Appeared/Appearing * Enter the pre board marks if HSLC marks is not declared or else enter the HSLC marks.

Performance (Based on Pre-Board/Pre-Final) MUST

Total Marks *

Marks Secured *

Marks secured cannot be greater than Total Marks.

Percentage (%) *

Subject	Marks Obtained *
English
Mathematics
General Science
Social Science
MIL/Language
Elective (if any)

SECTION C & D: STREAM & SUBJECT SELECTION

Stream Opted For *

Career Interest

Group A: Languages (Compulsory)

Subject 1

Subject 2 *

Group B: Electives (Select Any 3)

Note: You cannot select the same subject twice.

Subject 3 *

Subject 4 *

Subject 5 *

Group C: Skill Subject

Subject 6

Group A: Languages (Compulsory)

Subject 1

Subject 2 *

Group B: Electives

Note: You cannot select the same subject twice.

Subject 3

Subject 4

Subject 5 *

Subject 6 *

SECTION E: PARENT/GUARDIAN DETAILS

Father's / Guardian's Name *

Father's Occupation

Mother's Name *

Mother's Occupation

Primary Contact Number *

SECTION F: ADDRESS DETAILS

Present Address *

Village/Town

P.O.

District

State

Permanent Address (if different)

Village/Town

P.O.

District

State

SECTION G: PERSONAL & SOCIAL DETAILS

Mother Tongue

Religion

Nationality

Full Name	-
Gender / DOB	-
Mobile / Email	-
Stream / Subjects	-
Board / Exam	-
Marks / Percentage	-
Parent / Guardian	-
Address	-

DECLARATION

I hereby declare that the information furnished above is true and correct to the best of my knowledge. I understand that admission is provisional and subject to verification of documents and school rules.

I Agree *