REGISTRATION FORM - CLASS XI
Download the PDF application form -
Click here
Personal Details
Name (in capitals): *
Gender: *
Male
Female
Email: *
Date of Birth (DD-MM-YYYY):
Phone:
Mobile:
Subject Combination:
SCIENCE STREAM
PCMB
: Physics, Chemistry, Mathematics & Biology
PCMC
: Physics, Chemistry, Mathematics & Computer Science
PCBC
: Physics, Chemistry, Biology, & Computer Science
PCBM/F
: Physics, Chemistry, Biology & Malayalam/French
PCBI
: Physics, Chemistry, Biology & Informatics Practices
COMMERCE STREAM
BEAC
: Business Studies, Economics, Accountancy & Computer Science
BEAI
: Business Studies, Economics, Accountancy & Informatics Practices
BEAM
: Business Studies, Economics, Accountancy & Maths
BEAM/F
: Business Studies, Economics, Accountancy, Malayalam / French
HUMANITIES
History, Economics, Political Science & Legal Studies
History, Economics, Malayalam / French & Legal Studies
History, Economics, Political Science & Malayalam / French
History, Economics, Political Science/Legal Studies & Informatics Practice / Computer Science
Details of Schooling
Level of Study
School last attended
Medium
Duration
Reason for Leaving
Secondary
Academic Achievements
1. Board of Examination
Parental Details
Father's Name
Mother's Name
Profession
Profession
Office Address
Office Address
Phone No.
Phone No.
Non-Academic Achievements
Religion
Address
Permanent with Phone
Present with Phone (if any change)
Why do you prefer Girideepam Bethany Central School and write your opinion
Declaration
: The details given above are fully correct. I agree to follow all rules and regulations of Girideepam and in case of any violation, ready to accept any disciplinary action decided by the school authority.
I Agree
(Student)
I Agree
(Parent)
