MODERN SCHOOL BARAKHAMBA ROAD
ONLINE APPLICATION FORM FOR ADMISSION IN CLASS XI, 2021-22

 

1. The information being sought by you will be kept strictly confidential.
2. Maximum image size that can be uploaded is 200KB and only in jpg, jpeg, gif and png format.
3. Do not use any special characters (Such as #, *, $, etc.).
4. Please check all the information carefully before submitting the form. No changes will be allowed after submission of the form.
5. Only Viable Subject Combinations will be allowed.
6. Write NA if any field is not applicable to you.
7. Subject 1 is English which is common to All Streams. The * marked subjects shall be taught during the assembly period.
8. In case the Board Roll No is unavailable enter the First three letters of the School Name followed by the School Admission Number. (ex. MOD34562)

Stream*
 
 

Applicant's Details

First Name*(Spellings exactly as per TC of previous school / X Board Certificate, whichever is applicable)
Middle Name
 
Last Name*
Gender*
 
Date of Birth*(DOB exactly as per TC of previous school / X Board Certificate, whichever is applicable)
Religion*
 
Category*
Nationality*
 
Specific Learning Disability (if any)*
Mental Health Concerns (if any)*
 
Mobile No.*
Email id*
 
Preference*(Hostel only available for boys)
Student's Photo*
(only in jpg, jpeg, gif and png format)
 

Communication Details (which can be used by the school for official intimations)

Mobile No.*
Email id*

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

Father's Name*
Mobile No.*
 
Email id*
Is Father a Modernite*
 
Educational Qualification*
 
Occupation*
 
Designation*
Name of Organization*
 
Official Address*
Father's Photo*
(only in jpg, jpeg, gif and png format)
 

Mother's Details

Mother's Name*
Mobile No.*
 
Email id*
Is Mother a Modernite*
 
Educational Qualification*
 
Occupation*
 
Designation*
Name of Organization*
 
Official Address *
Mother's Photo*
(only in jpg, jpeg, gif and png format)
 

Details of sibling studying in Modern School

Local Guardian's Details (In case of Hostel )

Details of Current School and Board

School Name*
School Code*
 
Board Roll No*
Board Name*
 
Year of Passing*
Medium of Instruction*
 
Select Board Type*
 
 

Uploads

1) All documents are accepted in .pdf format.
2) In case of multiple achievements certificates, kindly merge into a single .pdf.
3) File names should not contain special charecters.
4) The Uploading PDF files size should be less than or equal to 2mb in total.
Applicant's achievement
 
 
Class X Pre-Board Mark Sheet/Board Mark Sheet*
Class IX Annual Marksheet*
 

Achievements

Co-Curricular
Sports
 
 
 
 
I hereby declare that all the information given above is correct and authentic to the best of my knowledge.