APPLICATION FOR ADDMISSION IN TO
BALACHANDRA MEMORIAL HIGH SCHOOL
5-66,Mangalam complex,Tirupati
   01. Name of the pupil                                           
         (Including house or village name)		 :::  
 
   02. Mother Tongue of the pupil :::  
 
   03. Date Of Birth :::  
 
   04. Nationalty & state which pupil belongs to :::  
 
   05. Religion                                           
         (This information is intented only for statistical purpose)		 :::  
 
   06. Does the candidate belongs to scheduld cast or scheduled tribes
         or Vimuktha Jathis or other socially & educationally backward
         classes specified in Appendix of the Andhra Pradesh Educational
         Rules or is a convert from schudeled tribes? If so,please specfy 		:::  
 
   07. Whether living with parent or Guardian
         (local residence if not living with parents or guardian)		 :::  
 
   08. -Name of Parent:
             -Occupation of Parent:
             -Full Address:

:::

:::

:::		  
 
   09. -Name of Gardian:
             -Occupation of Gardian:
             -Full Address:

:::

:::

:::		  
 
   10. Class last studied,name of the school last attended and
         whether Record sheet is attached ; if so its number & date.		 :::  
 
   11. Whether a transfer certificate of E.S.L.C; or
         qualified for promotion		 :::  
 
   12. Classes in to which addmission is sought :::  
 
   13. Medium of instruction :::  
 
   14. Languages proposed to be taken under first language (a) part 1 :::  
 
   15. Languages proposed to be taken under second language :::  
 
   16. In case of addmission in to classes XI, the coureses applied for :::  
 
   17. In case of addmission in to classes X the XI whether taking
        composite or general mathematics		 :::  
 
   18. Protection from small pox ;wheher vaccinated
        or small pox marked		 :::  
 
   19. Personal marks of identification

 :::   1. 
  2. 
 
   20. Previous school history of pupil :::  
 
                  I declare that the statement given abou is correct and that the pupil has not attended any other school besides those mentioned above.
 
   Station:                                                                                                                                                             Signature of Parent /Guardian
 
   Date:
 
   Examiner's remark in the case of admission from
 
   Elementry school or from private study(with signature & date)
 
   [Orders of the head of school regarding addmission with signatures & date]
NOTE:
1. Satisfactory evidance in regard of the date of birth must be insisted upon Head masters will be held responsible from accurate entry in the admisssion register & the date of birth.in case of pupils presenting an E.S.L.C. The entry is regard to the date of birth should be verified with particular date.
2. After admisssion is made, the admission number,date of addmisson & class of admission shall be endrosed on the application & on the transfer Certificate or record sheet as the case may be.