St. Bede's Academy Senior Secondary School

37, Santhome, Chennai -600 004 Ph:044-24660155, Mobile:72005 30206 e.mail:stbedesacademy2014@gmail.com, Web: www.stbedesacademy.org

XI - APPLICATION FORM 2023

Personal Details

Class to which admission
is sought *
Name of the Candidate *
Gender *
Date Of Birth *
Nationality *
Mother Tongue *
State *
Religion *
Caste *
Community *
Aadhaar Number
Mobile No *
Telephone
Email ID *
Blood Group*
Residential Address *
Major Language(s) Spoken at Home *

Course Offered

Science Stream A :
English,Mathematics,Physics, Chemistry, Biology
Science Stream B :
English,Mathematics,Physics, Chemistry, Computer Science
Commerce Stream :
English,Business Studies,
Accountancy,Economics,
Computer Science

Co-Curricular/Extra Curricular Activities:

Activity

Level

Position Held/ Type Of Participation

Sibling Details

Siblings are studying in St.Bede's Academy school*

List Of Schools,He Has Attended Beginning From Grade I

School Name *
Place *
Medium Of Instruction *

Special Questions

What is the aim on behalf of Your's child *
Why do you seek admission in St.Bede's School *
What are your talents ? *

Contact in case of Emergency

Name *
Mobile No *

Health Details

If Student physically
challanged ? *
If Student have
any illness? *
If Student have
any Allergies? *

Father's Details

Father's Name *
Date Of Birth *
Qualification *
Address
Designation
Annual Income *
Mobile No *
Office Mobile No
Residence *

Mother's Details

Mother's Name *
Date Of Birth *
Qualification *
Address
Designation
Annual Income *
Mobile No *
Office Mobile No
Residence *

Declaration

* Deviations will not be appreciated.

* Application is no guarantee for admission. It is only a process.

* Donation to anyone in connection with admission is not accepted.

* Selected candidates will be informed by phone and no information about rejection.

* Registration fee is non refundable.

* I declare that the above statements are correct and true to the best of my knowledge.

* I declare that i will not ask for a change in the date of birth or community in future.

* I hereby also agree to abide by the excisting rules and regulations in force and those,that may be framed from time to time,including the rules related to fee.

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