Lourdes Convent School - CBSE
Provisional Form
1
Particulars of the Pupil
Pupil’s Name
*
Surname
Father’s Name
Mother’s Name
Date of Birth
*
Gender
*
MALE
FEMALE
Religion
*
Place of Birth
*
Mother Tongue
*
Caste
Sub Caste
Select
GENERAL
OBC
SC
ST
Aadhaar card
Name of the School (Last Attended)
*
Class
Percentage
Grade
Residential Address
*
City
*
State
*
Pincode
*
Email
*
Blood Group
Select
A+
A-
B+
B-
O+
O-
AB+
AB-
Nationality
*
Chronic / Serious Illness
*
Select
No
Yes
Child’s Interest
Telephone Number
Father Phone
*
Mother Phone
*
Father WhatsApp
*
Mother WhatsApp
*
2
Particulars of Parents
Father / Male Guardian Name
Age
Nationality
Religion
Education
Occupation
Annual Income
Office Address
School
College
Professional Institution
Mother / Female Guardian Name
Age
Nationality
Religion
Education
Occupation
Annual Income
Office Address
School
College
Professional Institution
3
Other Particulars of the Family
Family Type
JOINT
SINGLE UNIT
SINGLE PARENT
No. of Brothers
*
No. of Sisters
*
Real Siblings studying in Lourdes Convent School
No.
Name
Standard
Division
1
2
4
Bank Details of the student
Account No.
Name of the Bank
IFSC Code
Name of Branch
5
Academic History
Was the student ever required to repeat a grade?
*
No
Yes
If yes, Which grade?
Why?
6
Additional Information
2nd Language (for classes IX & X)
*
3rd Language (for classes V to VIII)
*
Select Stream & Subjects
*
SELECT STREAM:
COMMERCE STREAM
HUMANITIES STREAM
COMPULSORY SUBJECTS
English Core
Accounts
Business Studies
Economics
English Core
History
Political Science
Economics
OPTIONAL SUBJECTS
(TICK MARK ANY ONE)
Informatics Practices
Physical Education
Applied Mathematics
Entrepreneurship
Psychology
Physical Education
7
Class X - Board Exam Details
Name of the board (CBSE/GSEB/ICSE etc.)
*
Board Exam Roll No.
*
Year of Passing
*
Submit Form
