S.B.I.O.A.

INTERNATIONAL SCHOOL,
POLACHERRY MAIN ROAD,SONALUR
(NEAR SBIOA UNITY ENCLAVE),CHENNAI 600 127.

REGISTRATION FORM FOR I to IX

Registration Number : SBIOAIS/173/2024-2025

STUDENT DETAILS

1 . Name of the student : S DHANYA SRI

2 . Class For which admission is sought : VIII
3 . Date of Birth : 17-08-2011
4 . Gender : Female
5 . Religion : Hindu
6 . Community : BC
7 . Caste : SENGUNTHAR
8 . Mother Tongue : TAMIL
9 . Blood Group : A +ve
10 . Communication Mobile No : 8925630359
11 . Communication Email Id : gnanachselvi48@gmail.co
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12 . Distance from School : Less than 1Km
13 . Aadhar Number : 593462374893

FATHER DETAILS

1 . Father Name : K SIVAKUMAR

2 . Father Mobile No : 9566643416
3 . Father Email Id : gnanachselvi48@gmail.co
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4 . Father Qualification : UG
5 . Father Occupation : Private Sector
6 . Father Annual Income : 5 Lac to 10 Lac
7 . Father Organization Name : HTP ELECTRICALS
8 . Father Organization Address : SINGAPORE
9 . Father Designation : ENGINEER
10 . Father Aadhar Number : 341940619318
 MOTHER DETAILS

1 . Mother Name : KANIMANI

SIVAKUMAR
2 . Mother Mobile No : 8925630359
3 . Mother Email Id : gnanachselvi48@gmail.co
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4 . Mother Qualification : M.Phil
5 . Mother Occupation : Home Maker
6 . Mother Annual Income : Less than 1 Lac
7 . Mother Organization Name : -
8 . Mother Organization Address : -
9 . Mother Designation : -

GUARDIAN DETAILS

1 . Guardian Name : -
2 . Relationship with child : -
3 . Guardian Mobile No : -
4 . Guardian Email Id : -

COMMUNICATION (OR) RESIDENTIAL DETAILS

1 . Residential Address : SBIOA UNITY ENCLAVE

2 . Permanent Address : NO44/28A, SINGA
PERUMAL KOVIL
SANNATHI STREET,
KANCHIPURAM
3 . Area Name : KANCHIPURAM
4 . City : KANCHIPURAM
5 . Pincode : 631501
6 . State : TAMIL NADU

PREVIOUS STUDIES (OR) PREVIOUS SCHOOL DETAILS

1 . Address of the school : PERNAUMPET

2 . Previous School name : ST PAULS MATRIC HR
SEC SCHOOL
3 . Last Studied Class : VII
4 . Third Language : Hindi
5 . Second Language : -

EXTRA CURRICULAM ACTIVITIES (OR) ACHIEVEMENTS DETAILS

EXTRA
EXTRA CURRICULAR
CURRICULAR DETAILS
DETAILS ::

NAME OF THE SCHOOL NAME OF THE ACTIVITY LEVEL OF PARTICIPATION

- - -

STUDENT CATEGORY

1 . Student Category : GENERAL

OTHERS DETAILS

1 . Medical Remarks : -
2 . EMIS Number : -
3 . Child with Special Needs : -
4 . Remarks : -

DOCUMENT UPLOAD DETAILS

1 . Student Image Upload : -

 List of supporting documents to be attached with the registration form at the time of submission:

Attested photocopies of:

a. Birth Certificate

b. Aadhaar Card of both Father & Mother

c. Proof of Residence (Photo copy of Ration Card / EB Card / Passport /

Voter ID / Gas Bill / Aadhaar Card / Telephone Bill only)

d. Proof of Sibling studying in SBOA (Copy of ID Card/Fee Challan)

e. Community Certificate wherever applicable

f. Doctor's Certificate in case of children with special needs

g. Proof of Income

h. Proof of being an Alumni of SBOA (Copy of 10th or 12th Mark Sheet)

i. Copy of report card of previous class

Note :

Enclose the Printed Original registration form with the supporting documents in a sealed envelope super scribed with
registration number on the envelop and drop it in the box provided at the school office Within one week from the
date of registration.

DECLARATION BY THE PARENT

I/We hereby certify that the information provided above is correct and I/we understand that if the information is
found to be incorrect or false, the application shall be automatically rejected without any correspondence in this
regard. I/we understand that short listing of this registration form does not guarantee admission to my ward. I/we
accept the process of admission undertaken by the school and I/we will abide by the decision taken by the school
authorities.

Signature of the Father / Guardian Signature of the Mother / Guardian

Father's Name: K SIVAKUMAR Mother's Name:KANIMANI SIVAKUMAR

Submit Date: 12-06-2024