Benedictine Hostel for Boys & Girls

Hostel Online Application Form

Please fill-in the form below with your details. Marked fields are mandatory

Name of the Pupil in full (As entered in School / College)

First Name

Middle Name

Last Name

Gender

Boy

Girl

Date Of Birth (D-M-Y)

Contact Number

Nationality

Religion

Email Address

Father Name

Father Mobile

Mother Name

Local Guardian Name

Local Guardian Mobile

Authorised Visitor Name

Authorised Visitor Mobile

School / College Name

Course Pursued

Parent Address

Local Guardian Address

Pupil Photo

Only JPEG, GIF, PNG format accepted.

I agree to terms & conditions

St Benedict's Academy
Asirvanam, Anchepalya, Kumbalgodu Post,
Bangalore - 560074
PH: 80-50506999
M: (+91) 9901609222
M: (+91) 9886812398
M: (+91) 9148326177
E: stbenedictscbseschool74@gmail.com

E: info@stbenedictsacademybangalore.com

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Academics
St.Benedict's College
st.Benedict's PU College
Primary School (CBSE)
High School (CBSE)
English Medium School