Christian Higher Secondary School

ONLINE APPLICANT

CHRISTIAN HIGHER SECONDARY SCHOOL

DIMAPUR: NAGALAND

ADMISSION FORM FOR CLASS 3 to 7 (2025)

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1. Name in Full:

First

Middle

Last

2. Date of Birth:

3. Gender:

4. Category:

5. Blood Group:

6. Religion:

7. Language:

8. Father's Name:

9. Mother's Name:

10. Father's Occupation:

11. Parent's contact number to which SMS should be sent:

12. Present Address:

Address Line 1

Address Line 2

City

State / Province / Region

Country

13. Permanent Address:

Address Line 1

Address Line 2

City

State / Province / Region

Country

14. Name of local guardian (if not with parents):

15. Local Guardian's Phone Number:

16. Institution last attended:

17. Permanent Education Number (PEN):

18. Aadhar Card Number:

19. Email Address:

20. a) Class in which admission is sought:

b) Previous Class Studied:

c) Year:

Parent's in Aadhar

21. Have you ever studied in CHSS:

22. If Yes, reason for leaving:

Mark Sheet

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Passport Photo

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Birth Certificate

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