Hubert Memorial Hr. Sec. School, Shillong

HUBERT MEMORIAL HIGHER SECONDARY SCHOOL

UMPLING,RYNJAH,SHILLONG 793006

APPLICATION FORM

GUIDELINES TO PARENTS

Welcome and thank you for choosing Our School as the prospective school for your child.
To print the form please use the Whatsapp number.
The symbol * represents mandatory fields.

Choice of stream

Stream *

Student Details

Application Ref No :

Pupil’s Full Name *

Date Of Birth *

Gender*

Previous School Studied *

Place *

Whatsapp No *

Details of Parent (Guardian)

Father's Name *

Occupation *

Designation

Name of Office/ Establishment

Mobile No

Mother's Name *

Occupation *

Designation

Name of Office/ Establishment

Mobile No

Local Guardian’s Name

Relation with the student

Address

Mobile No / Tel. No (Home)

Mobile No / Tel. No (Office)

General Details

Nationality *

Religion *

Category (Gen/ OBC/ST/SC/Others) *

Particulars of Examination passed

Examination (HSSLC/SSLC/CBSE/ICSE or equivalent) *

Name of Board *

Roll No *

Year of Passing *

Division *

% of Marks *

Subjects Taken *

Details of Marks (SSLC)

Subjects	Max. Marks	Marks Scored
English *
MIL / Alternative English *
Mathematics *
Science & Technology *
Social Science *
Health Education / Computer Application *

Choice of Subjects (Arts) - Compulsory Subjects

Compulsory Subject

Subject 1

Subject 2*

Subject 3

Choice of Subjects (Arts) - Optional Subjects

Subject 1*

Subject 2*

Subject 3*

Subject 4*

Subject 5*

Subject 6*

Proficiency in Sports and Games

Athletics

Basketball

Football

Volleyball

Cricket

Table Tennis

Carrom Board

Chess

Others

Instrument Playing

Guitar

Drums

Keyboard

Others

Co-curricular / Extra Curricular

Debate

Extempore

Quiz

Skit

Drama

Story Writing

Drawing

Poetry Writing

DECLARATION BY THE PARENTS AND APPLICANT

I have read the Prospectus and agree to abide by all the terms and conditions laid therein. I also declare that all particulars furnished in this forms are true and correct to the best of my knowledge and belief.