SU C E NT RA L S

ND AR AM C HOOL

Sundaram Central School

Proforma of class X for CBSE registration (2021-2022)
Dear Parents,
You are requested to fill up the following details about your ward as these would be uploaded
for the registration purpose. (in Block Letters)
Candidate’s Name: (First Name ) ( Last Name)

____________________________________________________

Mother’s Name: ____________________________________________________

Father’s Name: _____________________________________________________

Sex: _________ Caste: ___________ Category (√): Open OBC SC ST

Handicap: Yes: ___________ No: _____________

Date of Birth: ____________________________________________

(DD/MM/YYYYY)
Annual Income of Parents: ________________________________

Only Child: Yes: ___________ No: _____________

Minority: ___________________________________________

Mobile Number(Only one active Whatsapp):_______________________________________

E-Mail ID: __________________________________________

Aadhar Number: __________________________________________

Language Opted: (Please Tick √)

English Marathi Or Hindi Science Info. Tech
Social Science Mathematics(Basic) Mathematics (Standard)
Please Note:

 Submit the caste certificate as per the caste mentioned above (if any) in the form latest by
23rd August 2021. Ignore if already submitted.
 If the child is differently able please submit any of the following document:
 Disability certificate issued by the government hospitals
 Disability certificate issued by Recognized institutes of National level
 Disability certificate issued by Non-Governmental organizations registered
with Rehabilitation council of India/Central Govt./State Govt.
 Please clear your first term dues.
 In case of any issue please contact School Office.

Parent’s signature Student’s Signature Class Teacher’s Signature