ST. XAVIER'S COLLEGIATE SCHOOL
30, MOTHER TERESA SARANI, KOLKATA - 700 016
ONLINE APPLICATION 2021-22
Printing facility is required while filling up this online form.
All fields marked with
*
are compulsory
After submitting the form by clicking "Submit", if the form has been accepted, an Application form and Payment Receipt (2 pages) will appear on the screen after paying the application fee.
Make sure to note down the application code before proceeding.
Take a printout of these two sheets and make payment of the application fee of Rs. 500/- by any the following methods:
a) Online, by using Debit Card, Credit Card or Net Banking through the School Website.
The online application will be registered by the School for further processing only after the School receives from the Bank the intimation of the payment made by you.
You may check the application status of the online application after three working days from the date of payment through the School Website.
You must submit the Application form and the payment receipt to the School at the time of Interview.
Please enter Name exactly as in the birth certificate.
Please enter correct address, phone, mobile, e-mail etc. with care.
In case any compulsory field is not applicable, ENTER NA
Please make sure to take a print before you proceed for payment.
APPLICATION FORM FOR ADMISSION, SESSION : 2021-2022
I.
Application Class :
*
Class VII
II.
Applicant's Name :
*
III.
Second Language opted for (same subject as studied in Class VI) :
*
Hindi
Bengali
IV.
Date of Birth :
*
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
V.
Name and address of present
(or current) School :
*
VI.
Present Class :
*
VII.
Nationality :
*
Select Nationality
INDIAN
OTHERS
VIII.
Religion :
*
BUDDHISM
CATHOLIC
CHRISTIANITY
HINDUISM
ISLAM
JAIN
SARIDHARAM
SIKH
ZOROASTRIAN
Other
IX.
Category :
*
ANGLO INDIAN
BPL
General
SC
ST
OBC
X.
Mother Tongue :
*
Select Mother Tongue
English
Hindi
Bengali
Telugu
Marathi
Tamil
Urdu
Gujarati
Kannada
Malayalam
Odia
Punjabi
Assamese
Maithili
Santali
Kashmiri
Nepali
Sindhi
Konkani
Dogri
Manipuri
Bodo
Sanskrit
Others
Blood Group
*
Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
NA
XI.
Guardian's Details
*
Father's Details
Name :
*
Contact Number :
*
Profession :
Organisation's Name :
Organisation's Address :
Mother's Details
Name :
*
Contact Number :
*
Profession :
Organisation's Name :
Organisation's Address :
Parent's Details
Residential Address :
*
PinCode :
*
State of domicile :
*
Select State
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
OTHERS
Annual Income :
*
Father
Mother
Email Address :
*
Aadhaar Number of Father or Mother :
*
XII.
Color Passport Photo (JPG/JPEG format)
(Maximum Size Limit 100 KB)
* Do not put any special charecter in the file name. like (- or space)
Declaration
I declare that I have read the information thoroughly as given on the School Website.
I declare that information provided in this application form is true and I have not concealed any information that is asked for.
I understand that St. Xavier's Collegiate School, Kolkata reserves the right to reject the candidature at any stage even if the form is accepted online and registered.
I Agree
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