St Benedict's Academy Bangalore

PUC Online Admission Application Form

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

Name of the Pupil in full (As entered in SSLC marks card)

First Name

Middle Name

Last Name

Gender

Boy

Girl

Date Of Birth (D-M-Y)

Contact Number

Nationality

Religion

Caste

Present Address

Permanent Address

Email Address

Aadhar No.

Place of Birth

Village

Town

Taluk

District

Parent Details

Father Name

Father Education

Father Occupation

Mother Name

Mother Education

Mother Occupation

Annual Income

Pupil staying with

Parents

Guardian

Guardian Name

Guardian Address

Name and address of the School/College last studied

School/College Name

School/College Address

Particulars of SSLC/Equivalent examination passed

Reg. No

Year

Month

If whether Physically challenged/Blind/Mentally challenged

Yes

Medium of instruction in PU course.

Kannada

English

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