MOHAMMEDIYAH HIGHER SECONDARY SCHOOL

STUDENT DETAILS
First Name :
Middle Name :
Surname

Previous Grade Attended :

ITS NO:

Seeking Admission in Grade :

SSSM ID:

Date of Birth :

Date:

Gender :

Male :

Month :

Female :

Year :

Age :
FATHER DETAILS

Father's Name :
ITS :
DOB :

Date:

Month :

Qualification :

Year :

Deeni Talim Upto Class :

School / College Attended :

Occupation :
Average Annual Income :
Hobbies & Skills :
Work Place Address :
Hifz Status :
Contact no:
Whatsapp No:
Email ID :

Asr

Balad :

Amma :

None :

Attending Sabak :

Yes
No :

Mother Details
Mother's Name :
ITS No :
DOB :

Date:

Month :

Qualification :

Year :

Deeni Talim Upto Class :

School / College Attended :

Occupation (If any)
Hobbies & Skills :
Hifz Status :

Asr

Balad :

Amma :

None :

Attending Sabak :

Contact no:

Yes
No

Whatsapp No:
Email ID :

Other Details
Full Address:

Name of Brother / Sister

Name of School

1. _______________________________________________

MHSS

Other

B.D.C :

2. _______________________________________________

MHSS

Other

B.D.C :

3. _______________________________________________

MHSS

Other

B.D.C :

Enclosures
1. Previous School T.C.

2. Previous Year Marksheet

3. Photocopies of ITS Cards

4. Ration Card Photocopy

5. SSSM ID photocopy

6. Birth Certificate Copy

Declaration
I __________________________________ Declare that every information presented in the above form is true
to best of my knowledge, and I will be solely responsible for any incorrect or misleading Information.