Online Application for Admission

Grace Mission Hr. Sec. School, Ambikapur — Academic Session 2026-27

GRACE MISSION HR. SEC. SCHOOL

THAKURPUR, PO- RAGHAVPURI AMBIKAPUR - 497001, DIST. SURGUJA (C.G)

Application form for Admission

Session 2026 — 2027

1 Student Profile & Basic Information

1. Full Name of Student (In Block Letters) *

Passport Size Photo of Student Upload passport photograph (JPG, PNG)

3. Caste (जाति)

Category (वर्ग) *

9. Date of Birth (in figures) *

Date of Birth (in words)

10. Age as on Session Start (Auto-calculated):

Years

Months

Days

2 Parents & Guardian Details

2. Father's Name *

Mother's Name *

5. Father's Occupation (if employed)

Father's Qualification

6. Mother's Occupation (if employed)

Mother's Qualification

7. Own brothers / sisters studying in this school (if any):

3 Academic & School Record

11. Class to which admission is sought *

12. Name of School last attended

8. Language(s) spoken at home

14. Mode of Transport

Aadhaar Number (Student)

PEN No. (Permanent Education Number)

4 Contact Information & Residential Address

13. Mobile No. (Father) *

Mobile No. (Mother)

Mobile No. (Neighbour / Alt)

4. Home Address (Full Residential Address) *

5 ENCLOSURE Checklist & DECLARATION

Documents Attached / Submitted (Check all that apply):

1. Birth Certificate 2. Mark Sheet 3. Transfer Certificate (TC) 4. Aadhaar Card 5. Other Documents

DECLARATION

“I have read the rules of Grace Mission Higher Sec. School carefully and promise to abide by the same. I also declare that the information given above is correct to the best of my knowledge and belief.”

I accept and confirm the declaration statement above. *

After submission, you can immediately download or print the official school admission copy.