Email: sths_2008@yahoo.

com

Phone No-0326-6550868(O), +919234611762, +919835189001

ST. THOMAS HIGH SCHOOL

(MANAGED BY ST. THOMAS SCHOOL MANAGING COMMITTEE)

FORM No:

SAHUBAHIYAR, NH-2, TOPCHANCHI, DHANBAD-828402 JHARKHAND

AFFILIATED TO C.B.S.E (NEW DELHI) (AFFILIATION No. 3430237) SCHOOL CODE: 52097

CLASSES START FROM APRIL 9TH 20

APPLICATION FORM FOR PRE-REGISTRATION OF CANDIDATES FOR AISSE/AISC (10 + 2) 20

- 20

MENTION DETAILS NEATLY IN CAPITAL/BLOCK LETTERS ONLY WITHOUT TOUCHING THE EDGES OF THE BOX.

ONLY ONE CHILD:

YES
NO

SEX: (CHECK THE APPROPRIATE BOX)

MALE
(
)
FEMALE

ANNUAL INCOME:

CLASS : ___________
SECTION : ___________
ROLL No : ___________
DATE OF ADMISSION (DD/MM/YY)

AFFIX
PASSPORT SIZE
PHOTO
HERE

(
)
DATE OF BIRTH
(DD/MM/YYYY)

ADMISSION No:

REGISTRATION No.

BIRTH YEAR (YYYY)

CLASS IN WHICH ADMITTED:

CANDIDATES NAME (ONLY IN BLOCK/CAPITAL LETTERS)

MOTHERS NAME (ONLY IN BLOCK/CAPITAL LETTERS)
FATHERS NAME (ONLY IN BLOCK/CAPITAL LETTERS)

ADDRESS (DO NOT REPEAT YOUR NAME AND PARENTS NAME)

LOCAL: VILLAGE/ TOWN

PERMANENT: VILLAGE/TOWN

POST OFFICE:

POST OFFICE:

POLICE STATION:

POLICE STATION:

DISTRICT:

DISTRICT:

PIN CODE:

PIN CODE:

MOBILE No:

PHONE No:

CHOICE OF SUBJECTS AND STREAM:

CLASS XI SCIENCE
SUBJECT

CODE

CHOICE

CLASS XI ARTS

CLASS XI COMMERCE
SUBJECT

CODE

CHOICE

SUBJECT

CODE

ENGLISH CORE

301

ENGLISH CORE

301

ENGLISH CORE

301

HINDI CORE

302

HINDI CORE

302

HINDI CORE

302

PHYSICS

042

BUSINESS STUDIES

054

HISTORY

027

CHEMISTRY

043

ACCOUNTANCY

055

POL SCIENCE

028

BIOLOGY

044

ENTERPRENEURSHIP 066

GEOGRAPHY

029

MATHEMATICS

041

ECONOMICS

030

ECONOMICS

030

PHY EDU

048

PHY EDU

048

PSYCHOLOGY

037

SOCIOLOGY

038

PHILOSOPHY

040

PHY EDUCATION

048

www.stthomastopchanchi.in

CHOICE

DETAILS OF CLASS X EXAMINATION PASSED / APPEARED:

BOARD:

YEAR:

ROLL No:

REGISTRATION No:

NAME OF SCHOOL:

DETAILS OF CLASS X EXAMINATION PASSED:

IF ANY PARENT IS AN EX STUDENT OF STHS PLEASE MENTION NAME & YEAR:
IF THE STUDENT IS A CHILD OF STAFF, MENTION THE NAME OF STAFF MEMBERS:

IF SCHOOL TRANSPORT IS REQUIRED (DAY SCHOLARS ONLY): YES

NO

INFORMATION FOR GUARDIANS:

KINDLY NOTE THAT DUE TO LIMITED NUMBER OF SEAT; IT WILL NOT BE POSSIBLE TO ADMIT ALL APPLICANTS. THE APPLICATION MADE HERE DOES
NOT IN ANY WAY CONFIRM THE ADMISSION TO THE SCHOOL
SHORT LISTED CANDIDATES WILL BE DECLARED ON A LIST ON THE SCHOOL NOTICE BOARD.
LIMITED TRANSPORT FACILITIES ARE AVAILABLE ON CERTAIN ROUTES, ADMISSION THEREFORE WILL NOT AUTOMATICALLY ENSURE A SEAT IN THE
SCHOOL BUS

INSTRUCTIONS TO CANDIDATES:

3 COPIES OF PASSPORT SIZE PHOTOGRPAHS (BLACK & WHITE) OF CANDIDATE AND A PASSPORT SIZE PHOTOGRPAH OF PARENTS ALONGWITH THIS
FORM
PHOTOCOPIES OF CLASS X (BOARD) MARKSHEETS.IF RESULTS ARE NOT DECLARED, THEN SA I RESULTS TO BE SUBMITTED
STUDENTS OF ST. THOMAS HIGH SCHOOL ONLY NEED TO DEPOSIT THEIR SA I DETAILS AND PHOTOCOPY OF THE REGISTRATION CARD ISSUED BY THE
BOARD
ORIGINAL COPIES OF TRANSFER CERTIFICATE, CHARACTER CERTIFICATE, SCHOOL LEAVING CERTIFICATE & MIGRATION TO BE SUBMITTED WITH THE
FORM.

CERTIFICATE FROM PARENTS:

I hereby certify that the information provided in the form is correct to the best of my knowledge. I fully understand that the school on
accepting the Registration Form of my ward is not in any way obliged to admission. I also agree that the decision of the Principal of the school
will be final and binding on me.
Sign. Of Mother:

Date:

Sign. Of Father:

GUARDIANS DECLARATION:
I am aware of the general rules and regulations of the school as given in the Prospectus and am satisfied that they are good and necessary for
the education of my ward. The information provided in this form are true to the best of my knowledge. If the facts stated are found to be false,
my ward will forfeit his selection and seat in the school. I shall cooperate with the management in every respect to enable me to educate my
ward according to these, or such other rules of admission and removal as well as other rules of the school. In matters of any dispute, the
decision of the management will be final and binding.
Date:

Signature of Guardian:

INDEMNITY BOND:
In the event of any injury or harm or loss of life during the course of stay of my ward in the school, I shall not hold the school or
management responsible for the incident. Also, I understand that 3 months notice needs to be given to the school in case I wish to withdraw my
child.
TH
NOTE: LAST DATE OF SUBMISSION OF FORMS FOR CLASS XI (SCI/ARTS/COMM) IS MARCH 15 20
Date:

Signature of Guardian/Parent:

PLEASE
AFFIX
MOTHERS
PASSPORT SIZE
PHOTOGRAPH

PLEASE
AFFIX
FATHERS
PASSPORT SIZE
PHOTOGRAPH
SCHOOL SEAL &STAMP

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