Online Admission Form
Apply for admission to St. Xavier's High School, Keonjhar
1
Personal Details
2
Academic Details
3
Contact & Submit
Admission Application Form
Fill out the form below to apply for admission. All fields marked with * are required.
St. Xavier's High School
Keonjhar, Odisha
JMW2+WWR, Naigaon, Ghuturu, Odisha 758002
Phone: 08763206211, 7008432772 | Email: stxaviers@gmail.com
Affiliated to CBSE, New Delhi
ADMISSION APPLICATION FORM
APPLICATION ID
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Date of Application:
STUDENT INFORMATION
Student Name
Date of Birth
Gender
Aadhar Number
PARENT/GUARDIAN INFORMATION
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
ADMISSION DETAILS
Class Applied For
Stream
Hostel Facility Required
PREVIOUS ACADEMIC INFORMATION
Previous School Name
School Address
Last Qualified Examination
Percentage/CGPA Obtained
CONTACT INFORMATION
Email ID
Contact Number
Alternate Contact
Address for Correspondence
DECLARATION:
I hereby declare that the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to cancellation of admission. I agree to abide by the rules and regulations of St. Xavier's High School, Keonjhar.
I hereby declare that the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to cancellation of admission. I agree to abide by the rules and regulations of St. Xavier's High School, Keonjhar.
Signature of Parent/Guardian
Date
FOR OFFICE USE ONLY
Application Status: Received | Date: _______________
Admission Officer: ____________________ | Signature: _______________
Application Status: Received | Date: _______________
Admission Officer: ____________________ | Signature: _______________
Your application has been submitted successfully! A confirmation email has been sent to your registered email address.
Please keep a printed copy of this form for your records and bring it along with required documents when visiting the school.