St. Xavier's school

Online Registration Form (2021 - 22)

REGISTRATION NO : 1

Applied Class For * :

Personal Detail

Applicant Name * :

Date Of Birth * :

Nationality * :

Religion * :

Category * :

Gender * :

Address * :

City * :

State * :

Pin * :

Mobile No. * :

Email :

Parent Details

Father Details

Father Name * :

Mobile No. * :

Email :

Occupation * :

Organization :

Office address :

Landline Number (Office) :

Mother Details

Mother Name * :

Mobile No. * :

Email :

Occupation * :

Organization :

Office address:

Landline Number (Office) :

Last Attended Class :

Year :

School Name :

School Board Name :

Address of School:

Result Of Last Exam (%) :

I certify / agree that I filled up all the entries are correct. If the statement is inaccurate and untrue my application automatically be canceled and legal proceedings should be against me.

Registraion Fee :

About Us