CBSE Affiliation No.: 1030456
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ST. RAPHAEL CO-ED SCHOOL
86/2, Jatkhedi, Misrod, Bhopal (M.P.) - 462047
Online Admission Form
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Admission Class :
Session
Subject Combination
NURSERY
KG-I
KG-II
CLASS-1
CLASS-2
CLASS-3
CLASS-4
CLASS-5
CLASS-6
CLASS-7
CLASS-8
CLASS-9
CLASS-10
CLASS-11
CLASS-12
2021-2022
Select
ALL Subjects
Commerce + Applied Maths
Commerce + Phy. Edu.
Commerce + Comp. Sc.
PCM + Phy. Edu.
PCM + Comp. Sc.
PCB + Phy. Edu.
PCB + Comp. Sc.
Candidate's Profile
First Name :
Middle Name :
Last Name :
Gender :
Date Of Birth :
Mother Tongue :
MALE
FEMALE
TRANSGENDER
Religion :
Cast Category :
Birth Place :
GEN
OBC
SC
ST
Birth State :
Blood Group :
Nationality :
SSSM ID :
Previous School :
Previous Class :
Family Data
Family Data :
Father :
Mother :
Guardian :
Name :
Education :
Uneducated
Secondary 10th
Senior Secondary 12th
Graduation
P.G.
Uneducated
Secondary 10th
Senior Secondary 12th
Graduation
P.G.
Uneducated
Secondary 10th
Senior Secondary 12th
Graduation
P.G.
Occupation :
Working Place Address :
Monthly Income :
Permanent Address :
Local Address :
Phone Number Residence :
Phone Number Office: :
Other Detail
Student lives with :
Other relatives in Bhopal (a) :
Other relatives in Bhopal (b) :
Both Parents
Mother
Guardian
Data On Documents
TC Number :
TC Date :
Student Aadhar Number :
Documents required
Father's Photo :
Mother's Photo :
Student TC :
Bank Detail
Bank Name :
Bank Account Number :
Bank IFSC :
Declaration
We herewith submit the child's original School Leaving Certificate of the last school attended / a true copy of the original Birth Certificate.
We declare that the information given by us is true.
we the undersigned agree to abide by the school rules viz. those printed in Handbook.
I/we agree to the terms and conditions and will abide by it.
I declare that all the above information are true and correct to the best of my knowledge. If any information is found false, St. Raphael Co-Ed School, Bhopal shall be free to cancel my ward's admission. I will abide by all the rules and regulations of St. Raphael Co-Ed School, Bhopal once the Admission is given to my ward.
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