Form 3
[See Rule VI-I(i)
LITTLE FLOWER VIDYANIKETHAN & JUNIOR COLLEGE
Mundathanam P.O., Kangazha, Kottayam - 686541
Ph: 0481-2495801, E-mail: lfvn2008@gmail.com Fax: 0481-2495801
Website:www.lfvncbse.com
Application For Admission
1. Name of Pupil (Initials to be given at the end)
2. Name of Parent and his relation to the pupil
3. Occupation and address of parent with
phone number
4. Name, Address and occupation of local guardian
(in case the pupil does not live with his/her
Parents)
5. Schools previously Name of School/Board Standard Date of Admission
attended with name
6.
7. Date of Leaving
a) Date of Birth (in figures and words)
b) whether birth certificate produced
(vide Rule VI-(1)
Age on date of application in words (number of
years and months completed should be given)
8. Community and religion
9. Nationality and state to which the pupils belongs
10. Does the candidate belong to the Scheduled
Castes or Scheduled Tribes or orther Backward
Communities or is he/she, a convert from
Scheduled Castes or Scheduled Tribes?
11. Standard to which admission is sought(in words)
12. Mother tongue of the pupil
13. No. and date of Transfer Certificate produced on admission.
14. Date of Last Vaccination
15. Identification marks
I have read the rules of discipline of this school and I undertake that my ward will abide by them.
I solemnly declare that the above particulars about .......................................are true & correct .
Station................................
Date ...................................
Signature of parent or guardian
TO BE FILLED BY THE PRINCIPAL/HEADMISTRESS
Date of Admission ..............
Standard to which Admitted..............................
Admission No. .................................
Signature of Principal/Head Mistress