Xavier's Model Secondary School

Affiliated to the council of ICSE and ISC, New Delhi

Co-Educational English Medium

Himnagar, Dankuni, Hooghly

Ph.: 033 2659-0646 / Mob.: 9748920342

ADMISSION FORM: 2025-2026

General Information

Name of Student

Applying for Class

Session

Date of Birth

Gender

Blood Group

Caste

Aadhar Number

Nationality

Religion

Mother Tongue

Second Language

Physically Challenged

Special Interest in Co-Curricular Activities

Any Special Illness

Image

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Father's Information

Father's Name

Father's Contact Number

Father's Occupation

Mother's Information

Mother's Name

Mother's Contact Number

Mother's Occupation

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