St Agnes' Covent School

Note :The photographs of the Ward/Father/Mother are to be signed across and pasted on the hard copy which is to be submitted to the school office as and when required .

Name of the Ward to be admitted in the school :

Date of Birth :

Name of the School previously attended with year of admission :

Is your ward suffering from any ailment which requires any emergency treatment/urgent hospitalization :

Blood Group :

Own Sister studying in St. Agnes' ( if any ) :

Class :

Subjects taken in qualifying Examination : I.C.S.E. as per certificate

1st Language in Qualifying Examination :

2nd Language in Qualifying Examination :

Other subjects in Qualifying Examination :

Stream into which admission is sought in ISC-XI

Stream into which admission is sought :

Compulsory subject :

Optional subjects :

Extra-curricular interests :

THE STREAMS OF STUDY OFFERED ARE : SCIENCE/COMMERCE/HUMANITIES. STUDENTS MUST TAKE ENGLISH AS COMPULSORY FIRST LANGUAGE & AND MINIMUM OF FOUR OTHER SUBJECTS AND A MAXIMUM OF SIX OTHER SUBJECTS AS ELECTIVES (IT IS, HOWEVER, ADVISABLE TO TAKE A MINIMUM OF FIVE ELECTIVE SUBJECTS) FROM THE FOLLOWING :

SCIENCE	COMMERCE	HUMANITIES
ENGLISH (COMPULSORY)	ENGLISH (COMPULSORY)	ENGLISH (COMPULSORY)
PHYSICS	MATHS/BUSINESS STUDIES	MATHS/SOCIOLOGY
CHEMISTRY	COMMERCE	POLITICAL SCIENCE
BIOLOGY/COMPUTER	ACCOUNTS	GEOGRAPHY/HISTORY
MATHS	ECONOMICS/PSYCHOLOGY/COMPUTER	ECONOMICS/PSYCHOLOGY/COMPUTER
HINDI / BENGALI	HINDI / BENGALI	HINDI / BENGALI

SOCIAL & COMMUNITY SERVICE WILL BE PART OF THE CURRICULUM.

CANDIDATES ARE ADVISED TO TAKE HINDI/BENGALI AS ONE OF THEIR ELECTIVE SUBJECTS.

DETAILS OF THE FATHER (Block Letters)

Name of the Father :

Address :

Mobile No. :

Religion :

Community(e.g. Punjabi, Bengali etc.) :

Caste : Schedule Caste Schedule Tribe Others

Occupation with address :

Income per month :

DETAILS OF THE MOTHER (Block Letters)

Name of the Mother :

Address :

Mobile No. :

Religion :

Community(e.g. Punjabi, Bengali etc.) :

Caste : Schedule Caste Schedule Tribe Others

Occupation with address :

Income per month :

Ex-student of this school : Yes No

DETAILS OF THE GUARDIAN (Block Letters)
**( Should be filled in only if the candidate is not residing with her natural parents or if she is an orphan).

Name of the Guardian :

Address :

Mobile No. :

Religion :

Community(e.g. Punjabi, Bengali etc.) :

Caste : Schedule Caste Schedule Tribe Others

Occupation with address :

Income per month :

TO BE FILLED IN ACCURATELY AND UPLOADED WITH THE APPLICATION FORM.
If there is any discrepancy in the recorded marks your admission is liable to be cancelled.

Name of the Applicant :

From which school :

Stream opted for :

SUBJECTS	VIII FINALS %	IX FINALS %	X SELECTIONS %
ENGLISH LANGUAGE
ENGLISH LITERATURE
HINDI
BENGALI
HISTORY & CIVICS
GEOGRAPHY
MATHEMATICS
PHYSICS
CHEMISTRY
BIOLOGY

Any other Sub :

6th Sub :

N.B. : I have read the contents of the prospectus and the probationary application form and upon submission of the duly filled-in application form. I state that I have understood the meaning and purport of the rules and regulations as stated therein and I declare to abide by and bound by them and accept them in its entirety.

Do Not Remove It

Form No :

Ward's Name(Block Letters) :

Urgent News

(033) 26664224, (91) 9073404770

stagnesconventschool@gmail.com

1, Kings Road, Howrah

PROBATIONARY APPLICATION FORM FOR XI 2024-2025

Photo of Ward

Photo of the Father

Photo of Mother

DETAILS OF THE WARD (Block Letters)
** Xerox copies of all details entered in the application form should be enclosed alongwith it. Namely : Admit Card/Class IX Registration/Report of VIII, IX & X
Please fill in Block Letters

Subjects taken in qualifying Examination : I.C.S.E. as per certificate

Stream into which admission is sought in ISC-XI

DETAILS OF THE FATHER (Block Letters)

DETAILS OF THE MOTHER (Block Letters)

DETAILS OF THE GUARDIAN (Block Letters)
**( Should be filled in only if the candidate is not residing with her natural parents or if she is an orphan).

TO BE FILLED IN ACCURATELY AND UPLOADED WITH THE APPLICATION FORM.
If there is any discrepancy in the recorded marks your admission is liable to be cancelled.

Do Not Remove It

SAVE THE DOLPHINS

EARTH DAY CELEBRATION

PROBATIONARY APPLICATION FORM FOR XI 2024-2025

Photo of Ward

Photo of the Father

Photo of Mother

DETAILS OF THE WARD (Block Letters) ** Xerox copies of all details entered in the application form should be enclosed alongwith it. Namely : Admit Card/Class IX Registration/Report of VIII, IX & X Please fill in Block Letters

Subjects taken in qualifying Examination : I.C.S.E. as per certificate

Stream into which admission is sought in ISC-XI

DETAILS OF THE FATHER (Block Letters)

DETAILS OF THE MOTHER (Block Letters)

DETAILS OF THE GUARDIAN (Block Letters) **( Should be filled in only if the candidate is not residing with her natural parents or if she is an orphan).

TO BE FILLED IN ACCURATELY AND UPLOADED WITH THE APPLICATION FORM. If there is any discrepancy in the recorded marks your admission is liable to be cancelled.

Do Not Remove It

DETAILS OF THE WARD (Block Letters)
** Xerox copies of all details entered in the application form should be enclosed alongwith it. Namely : Admit Card/Class IX Registration/Report of VIII, IX & X
Please fill in Block Letters

DETAILS OF THE GUARDIAN (Block Letters)
**( Should be filled in only if the candidate is not residing with her natural parents or if she is an orphan).

TO BE FILLED IN ACCURATELY AND UPLOADED WITH THE APPLICATION FORM.
If there is any discrepancy in the recorded marks your admission is liable to be cancelled.