DR. ANTONIO DA SILVA HIGH SCHOOL & JR. COLLEGE OF COMMERCE SK BOLE ROAD, DADAR WEST MUMBAI, MAHARASHTRA 400 028 Application No. Student's Details* Surname Child's Name Father's Name Mother's Name Parent's Mob. No.* Class Applied DOB* Between 01/07/2020 and 31/12/2021 Current Address* Permanent Address* Birth Place* Nationality* Gender Blood Group Select the Blood Group O+ O- A+ A- B+ B- AB+ AB- Religion* Caste Mother Tongue* Has Special Needs YES NO Parent Details Father/Guardian Mother/Guardian Name* Relation with Child* Alumni* Select an Option YES NO NO YES NO Qualification* Name of Institute* Occupation/Profession* Organization Name and Address* Email Id* Annual Income* Siblings in School ?* Select an Option YES NO Student Name* Class* School Name* Required Documents to be submitted alongwith the Form Municipal Birth Certificate of the child Proof of Residence: Ration Card/Aadhar Card/Electricity Bill/Passport (any one) Aadhar Card of the Child - if available or submit Aadhar card of any one parent Baptism certificate of the child - Catholics Only Child's Caste Certificate - if available Copy of Payment Receipt Received Form No. ________________________________________ dated ______________________ of Master ___________________________________________________________________________________________________________________ Supervisor Submit & Pay Please Note: One parent must accompany the child for the submission of the printed form alongwith the original and xerox copies of the supporting documents. Date of Submission: 17/01/2025 Time: 10:00 am to 12:00 noon Application Fee of Rs. 300 and a transaction fee will be charged Order ID getepay Payment ID getepay Status EntryId
