Jesus Academy

Affiliated to CBSE New Delhi,Affi.No. 931269 Thalore,P.O Ollur, Pin: 680306,Thrissur, Kerala. Ph: 04872351016, 9188552578 email:jesusacademytlr@gmail.com
SESSION 2022-2023

APPLICATION FOR ADMISSION

Class

1. Name of the Pupil

Educational qualification

Occupation

Address Resdidential

Phone

2. Name of the Guardian in case of pupil does not live with his/her responsible guardian

3. School previously attended

4. Date of Birth

Whether certified extract from register of Birth/declaralion from the parents or guardian/ certificate from the registered Medical Practitioner has been produced (vide Rule Vl-l-(Ol)

Place of Birth

Two marks of personal identification

Sex

5. Nationality

6. Mother tongue of the pupil

7. No & date of transfer certificate

Declaration Date: 7/24/2024 11:14:37 AM