Admission Form

Application No: SXS-2026-ZJRLVV
Date: 19-05-2026

ST. XAVIER’S SCHOOL, HARMUTTY

LAKHIMPUR – ASSAM

APPLICATION FOR ADMISSION TO BALVATIKA 1 / 2 / 3
Session 2026–27

To
The Principal
St. Xavier’s School
Harmutty, Assam – 784160

Dear Fr. Principal

I request the favour of admission of my son/daughter to your school as a student in
Balvatika 1 (Nursery)
Balvatika 2 (LKG)
Balvatika 3 (UKG)
.

AFFIX A RECENT PASSPORT PHOTO - JPG/PNG • Max 200 KB • 300×400 px (3:4)
Father *
Child *
Mother *
DECLARATION BY PARENTS/GUARDIANS

SIGNATURES - JPG/PNG • Max 100 KB • 300×100 px
Father’s Signature *
Mother’s Signature *
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