Dr. ANTONIO da SILVA TECHNICAL HIGH SCHOOL & JR COLLEGE OF SCIENCE S VEER SAVARKAR MARG, DADAR WESTMUMBAI MAHARASHTRA 400028 Tel: 022-24453757 Sr. No: _______________________ FOR OFFICE USE ONLY Roll No.: _____________________ Gen Reg. No.: ___________________________ Caste: ________________________ I hereby seek admission for my son/ward in Standard VIII of your institution and wish to take the following subjects: 1. English First Language 2. Marathi Second Language 3. Hindi Third Language 4. Mathematics 5. Science and Technology 6. Social Science 7. Physical Education 8. Social Services 9. Mechanical Technology (Computers, Engg. Drawing and Workshop Practices) The necessary particulars about my son/ward are given below: 1. Name in Full: 2. Date of Birth: 3. Place of Birth: 4. Religion (Caste & Sub-Caste) (Please mention if your son/ward belongs to Schedule Caste, Tribe etc and attach certificate) 5. Name of school last attended: 6. MotherTongue: 7. Full Name of Parent/Guardian: 8. Home Address: Phone: 9. Father's/Guardian's Occupation: Organization: Designation: Mobile: 10. Mother's/Guardian's Occupation: Organization: Designation: Mobile: 11. Did your son/ward represent his school in: 12. Aadhar Card No. Please submit Xerox of Aadhar Card I have read the Rules of the Institution and the Rules of Discipline framed by the Government and I agree to abide by these Rules. Date Signature of Parent/Guardian Clear Undo Redo Strike out whatever is NOT applicable Marks obtained in Standard VII Subject Average Grade English Marathi Hindi Mathematics Science Social Science Total Percentage Sir, I will abide by all discipline rules that prevent in your institution and will obey all the orders by any member of the teaching staff. I will not behave on the premises of Dr. Antonio da Silva Technical High School and Junior College of Science or outside in any way which will bring disgrace to me as a student or to your institution in which I learn. If my conduct deviates from the promises given above, you may give me the school Leaving Certificate. This statement itself may be taken to be an application of the Leaving Certificate. I hope and pray the I leave your institution honourably after completing the course. Signature of the Parent/Guardian: Clear Undo Redo Signature of the Student: Clear Undo Redo Submit
