Admission Application

"*" indicates required fields

Student name*

Gender*

Male

Female

Age*

Date of Birth as in birth certificate*

Place of Birth*

Nationality*

State to which the pupil belongs*

Standard to which admission is sought / optional subjects Chosen

Whether living with parents/or guardian/ boarding required

Religion*

Category*

Caste*

No. and date of T.C Last School attended by the pupil*

Name of the School*

Whether Private Recognised (Govt.of Kerala / CBSE / ICSE ect)*

Mother Tongue*

Name of the Father*

Occupation of Father*

Education Qualification*

Annual income*

Name of the Mother*

Occupation of Mother*

Education Qualification*

Annual income*

Permanent Address with Phone No.*

Local address with phone No.*

Local guardian & Address*

List of name of own brother and sisters studied / studying in this institution and class

Vimala Hridaya Convent School
Neeleswaram, Pinattinmoodu
Kottarakara – 691505