Cheshire Home Lane Ambalamukku, Kuravankonam, Thiruvananthapuram, Kerala 695003

Telephone : 0471 243 0477

Email : infantjesuscs@gmail.com

Fill in all sections clearly and carefully in BLOCK LETTERS

INCOMPLETE FORM WILL BE REJECTED

Name Of The Pupil

Date of birth

Gender
Male Female

Caste and Religion

Photo(passport size - Max size:200kb)

Father's Name

Occupation

Father's Mobile

Mother's Name

Mother's Mobile

Mother's Occupation

Adhaar No:

Email:

Address :

Name of the last School attended

Class in which studying

Standard to which Admission is sought

If Admission is sought to XI or XII

Date of payment

Transaction Number