Srimathi Sundaravalli Memorial School
New Perungalathur, Chennai - 600063
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ADMISSION - 2014 - 2015   -   PRE - REGISTRATION REQUISITION 
Name of the student*
(as per Birth Certificate)
 
Sex      
Date of Birth*
(as per Birth Certificate)
 
Class to which admission sought for*     
Residential Address :    
Door No  
Street Name  
Area  
Locality  
City  
Pincode  
Landmark  
Father
Name*  
Qualification              
Occupation      
Designation  
Office Name
Mobile Number*  
Email Id*  
Annual Income*  
Mother
Name*  
Qualification              
Occupation      
Designation  
Office Name  
Mobile Number  
Email Id  
Annual Income  
For the existing Parents of SSM - Details of Sibling
S.No.        Admn.No      Student Name Class & Section
 1.
2.
 
Is the Parent Alumni of SSM                 
If "YES" Details Year of Leaving Class
 
                               
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