SINDHI MODEL SCHOOL OF EXCELLENCE

C.B.S.E

[A Unit of Sindhi Educational Society - (Madras)]

No. 146, Poonamallee High Road, Numbal Village,

Thiruverkadu, Chennai-77. Ph: 044-71811172

Email : smsexcellence2019@gmail.com Website : www.smse.school

APPLICATION FOR ADMISSION 2023-2024

Classes Pre-KG - IX

Full name of the Pupil - as per the Birth Certificate* :

2. Date of Birth: (a) In figures* :

Age as on 31st March (Year)*:

Month* :

Age In Words :

Aadhar No:* :

Nationality* :

Religion* :

Mother Tongue* :

State to which the pupil belongs* :

Place of Birth :

Whether the pupil belongs to SC / BC / Others (Certificate to be produced)* :

D/NO & Flat No*:

Area & Street*:

City/Pin & State* :

Phone No*:

Name of Father:

Qualification:

Occupation:

Office Name:

Office Address:

Annual Income:

Tel./ Mob:

Email:

Name of Mother:

Mother Qualification:

Mother Occupation:

Mother Office Name:

Office Address:

Mother Annual Income:

Mother Tel./ Mob:

Mother Email:

Name of Guardian:

Occupation:

D/NO & Flat No:

Area & Street:

City/Pin & State:

Guardian Email:

Guardian Annual Income:

Tel./ Mob:

Class into which Admission is sought:

Class last studied in:

Whether promoted or not:

Name of the School last studied in:

Medium:

Reason for leaving the school:

(a) Any noticeable illness suffered from:

(b) Whether vaccinated or not : Yes / No:

If Yes:

Name of brother / sister if any, studying in this School:

The following documents must be submitted along with the application

Affix Latest Passport Size Student Photo :

Birth Certificate (Copy):

Community Certificate (Copy):

Copy of Aadhar Card Yes / No:

Any other helpful information about the pupil:

DECLARATION

I declare that the particulars given above are correct to the best of my knowledge and that I will abide by the rules of the school. I am aware that admission obtained on false information or by suppression of facts will be cancelled on detection at any time.

Station:

Date:

PAYMENT DETAILS (Application Amount ₹ 300):

Payment Receptors Name* :

Payment Receptors Phone* :

Payment Receptors Email-Id* :

CLASS	AGE	DATE OF BIRTH RANGE
		FROM	TO
PRE KG	2.6 To 3.5	01.01.2020	31.12.2020
LKG	3.6 To 4.5	01.01.2019	31.12.2019
UKG	4.6 To 5.5	01.01.2018	31.12.2018
I	5.6 To 6.5	01.01.2017	31.12.2017
II	6.6 To 7.5	01.01.2016	31.12.2016
III	7.6 To 8.5	01.01.2015	31.12.2015
IV	8.6 To 9.5	01.01.2014	31.12.2014
V	9.6 To 10.5	01.01.2013	31.12.2013
VI	10.6 To 11.5	01.01.2012	31.12.2012
VII	11.6 To 12.5	01.01.2011	31.12.2011
VIII	12.6 To 13.5	01.01.2010	31.12.2010
IX	13.6 To 14.5	01.01.2009	31.12.2009
X	14.6 To 15.5	01.01.2008	31.12.2008
Note: Applications received outside the above date ranges will not be considered for admission and no refunds will be granted under any circumstances.

SINDHI MODEL SCHOOL OF EXCELLENCE

C.B.S.E

APPLICATION FOR ADMISSION 2023-2024

Classes Pre-KG - IX

DECLARATION

PAYMENT DETAILS (Application Amount ₹ 300):

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