Noyes Matric Hr. Sec.
School, Madurai
Student Declaration Form – 2025 – 2026
Std : Student’s Personal Information
1. Name in English(Initial at the last)
2. Name in Tamil
3. Class & sec
4. Date of Birth
5. Gender (MALE / FEMALE)
6. Blood Group
7. Mother Tongue
8. Religion
9. Community
(BC/ MBC/SC/ST/DNC/OTHERS)
10. Caste Name
11. Community Certificate No.
12. Aadhar ID No.
13. Disability Group Name
14. Personal Identification Marks
(i) MOLE
ii) SCAR
Family Details
1. Father’s Name in English
(Initial at the last )
Father’s Name in Tamil
2. Father’s Father Name in English
Father’s Father Name in Tamil
3. Father’s Qualification
Father’s Occupation
4. Mother’s Name in English
Mother’s Name in Tamil
5. Mother’s Father Name in English
Mother’s Father Name in Tamil
6. Mother’s Qualification
Mother’s Occupation
7. Guardian Name in English
Guardian Name in Tamil
8. Guardian’s Qualification
Guardian’s Occupation
9. Parents’ Annual Income
Communication Details
1. Mobile number - Father
- Mother
2. Whatsapp No. - Father
- Mother
3. Email ID
4. Address
Pincode :
Academic Information
1. Class & Sec
2. Date of Admission
3. Std Admitted
4. Emis ID (New & old)
5. Admission Number
Name of the schools Studied
Std Name of the School Medium
I
II
III
IV
V
VI
VII
VIII
IX
X
Xerox copies to be enclosed :
1. Birth certificate 2. Community Certificate 3. Student’s Aadhar Card
4. Father’s Aadhar Card 5. Mother’s Aadhar Card
Father’s Signature Mother’s Signature Student’s signature