Application Form for RegistrationStudent's Name *Aadhar No. *Date of Birth *Sex *MaleFemaleReligion *Seeking Grade *Montessori 1Montessori 2Montessori 3Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Place of Birth *Mother tongue *Nationality *Select our Branch St. Xavier's High School, Jagdalpur Contact Information: ResidentialAddress *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone *Email * Particulars of Father / Mother / GuardianName of Gardian/Parent 1 *Name of Gardian/Parent 2 *Relationship with the child *MotherGardianRelationship with the child *FatherGardianDate of Birth *Date of Birth *Qualification *Qualification *Occupation Occupation *Name of Company Name of Company *Work Location *Work Location *Approx Annual Income (INR) *Approx Annual Income (INR) *Phone/mobile no. *Phone/mobile no. *Email *Email * Details of Last School AttendedName of the school *Curriculum / Board *Grade / Class *Montessori 1Montessori 2Montessori 3Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11City *Percentage of Marks / Grade *State *Reason for change * RequirementsDo you require transport services facility for your child? *YesNoHas your child been identified with any learning disability? *YesNoHostel Facility *YesNo Details of Child's Sibling(s)Name 1 Education Name of the school Name 2 Education Name of School VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: