Holygrace Academy

YOUR DETAILS

Class to which admission is sought Name(As per DOB Certificate / X Registration Card) Date of Birth Sex Male Female Others

Details Of Parents - Father

Parent's Name (Father) Educational Qualification Residential Address Email Contact No Whatsapp No Occupation(Specify the designation / Nature of business) Official Address Monthly Income Parent's Signature(Image)

Details Of Parents - Mother

Mother Educational Qualification Residential Address Email Contact No Whatsapp No Occupation(Specify the designation / Nature of business) Official Address Monthly Income

Religion Caste Category OBC/OEC/Gen-SC/ST/EWS Aadhar No Whether residential admission is required Yes No Whether school transportation is required Yes No Do you claim tax benefit on fees Yes No Whether the candidate is single Girl Child Yes No Whether the candidate is Specially abled(Divyangjan) Yes No Whether the candidate is belonging to the EWS(Economically Weaker Section) Yes No Name and Address of last attended School Class Last Attended

Last School affliated is CBSE ICSE STATE BOARD ANY OTHER

Result Of last Class (Mark List(pdf))

Subject	Maximum Marks	Marks Obtained	% of Marks	Remarks

Details Of Siblings(If Any)

Name	Brother / Sister	Age	Name Of School

Identification Mark
Birth Certificate(pdf)

Photo With Date

DECLARATION

I hereby declare that the above information including Name of the child, Father's/Mother's/ Guardian's Name and date of birth furnished by me is correct to the best of my knowledge & belief. I Shall abide by the rules of the School.