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A.M.M SCHOOL AMMS.F.ADM.

NO.18, GANDHI MANDAPAM ROAD, CHENNAI - 600 085.


PHONE : 24470629, 24474495.
Affix
e-mail : ammschool@ammfoundation.org / website : www.ammschool.org
Photograph
REGISTRATION FOR ADMISSION

Registration No : AMMS/1196/2023-2024

STUDENT DETAILS

1. Name of the applicant in full : ADITYA SINGH

2. Date of Birth & Age : 06-09-2013 (7 Years , 11 Months , 0 Days)

3. Sex : MALE

4. Class to which admission is sought : V

5. Mother tongue : HINDI

6. Nationality : INDIAN

7. State : WEST BENGAL

8. Religion : HINDU

9. Caste : RAJPUT

10. Community : OC

11. Blood Group : A+VE

12. Allergy to Drugs :

13. Aadhaar Number :

14. EMIS Number : 1731107

FATHER'S DETAILS

15. a) Father's Name : RAJ KUMAR SINGH

b) Educational Qualification : MASTER OF TECHNOLOGY

c) Occupation : PROFESSIONAL ENGINEER

d) Office Address : 19 VELACHERY ROAD, GUINDY,


CHENNAI 600032

e) Residence : ABSOLUTE HOMES,


ARUNACHALAM ROAD,
KOTTURPURAM, CHENNAI-600085

f) Phone number/Mobile number : 9883122847

g) E-mail : RAJ.KR.SINGH@HOTMAIL.COM

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h) Annual Income : 1400000

MOTHER'S DETAILS

16.a) Mother's Name : NAMITA SINGH

b) Educational Qualification : INTERMEDIATE

c) Occupation : HOUSE WIFE

d) Office Address : --

e) Residence :

f) Phone number/Mobile number : 8902781746

g) E-mail :

h) Annual Income : --

Note : In case a parent is deceased, details of the guardian should be entered. Guardian's relationship to the
child should be mentioned failing which the application will be rejected.

PREVIOUS ACADEMIC DETAILS

17. School last attended : ZEE MOUNT LITERA

Address : PALGANGANA ROAD, JODHPUR


342001

Phone number/Mobile number : 9116668181

Board of Examination : CBSE

18.a) Class studied : IV

b) Reason for leaving : FATHER TRANSFFER

19. Sports :

20. Cultural :

SIBLING DETAILS

21. DETAILS OF BROTHER(S) AND / OR SISTERS(S) STUDYING IN THIS SCHOOL (NOT


COUSINS)

a) Name : - -, - -, - -,

b) Class : - -, - -, - -,

c) Section : - -, - -, - -,

d) Year of study : - -, - -, - -,

MEMBERS OF THE FAMILY STAYING PERMANENTLY WITH THE CHILD

22. a) Name : RAJ KUMAR SINGH, NAMITA


SINGH, AYUSH KUMAR SINGH,

b) Relationship with the child : FATHER, MOTHER, BROTHER,


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23.a) Mode of Transport : SCHOOL BUS

b) Distance (KM) : 2

IF PARENT IS ALUMNUS OF AMM SCHOOL

24. a) Father

Year of Passing :

Last Class attended :

No.of years in AMM School :

b) Mother

Year of Passing :

Last Class attended :

No.of years in AMM School :

IF PARENT IS ALUMNUS OF ANY OTHER SCHOOL UNDER "AMM FOUNDATION"

25. a) Father

Name of the School :

Year of Passing :

Last Class attended :

No.of years in the School :

b) Mother

Name of the School :

Year of Passing :

Last Class attended :

No.of years in the School :

IF PARENT IS AN EMPLOYEE OF THE MURUGAPPA GROUP

26. a) Father

Name of the Company :

Current position :

No. of years of Service :

From :

To :

b) Mother

Name of the Company :

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Current position :

No. of years of Service :

From :

To :

DECLARATION

We hereby declare that all information given in this application is true and accurate.

Station :

Date : Signature of Parent / Guardian

Photo copy of the following documents should be attached to the application.


The Originals should be produced at the time of verification.

Office use

1 Corporation Birth Certificate Original / Copy


2 Community Certificate, if belonging to S.C / S.T./ M.B.C. / B.C. Original / Copy
3 Proof of residence Original / Copy
4 Passport Size Photograph One P.P.
5 Photocopy of last two years progress reports. Original / Copy

Incomplete and non complying application will be rejected.

For A.M.M. School

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