Online Registration Form - St. Xaviers High School

Online Registration Form

Dear Parents,

This form is to enquire or register your ward into St. Xavier’s high School, Bharni which is situated at Bilaspur in Chhattisgarh State. For hostel we take enquiries pan India but for Day Scholar, students must reside in Bilaspur.

To confirm the registration please deposit/transfer the Registration fees of Rs. 700/- for Day Scholars

Rs. 1000/- for Hostel Admission into following bank account.

Bank: Indian Bank

Branch: Bharni, Bilaspur, Chhattisgarh

Bank Account Name: St. Xavier’s High School

Account Number: 767649077

IFSC Code: IDIB000B184

Payment can be done by UPI too.

UPI ID: sxhsbharni@icici

Application Form for Registration

Student's Name *
Aadhar No. *
UTR No./ online payment Transaction no. kindly pay the registration fees and confirm your admission.
Date of Birth *
Sex *
MaleFemale
Religion *
Seeking Grade *
Place of Birth *
Mother tongue *
Nationality *
Select our Branch

Contact Information: Residential

Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *

Particulars of Father / Mother / Guardian

Name of Guardian/Parent 1 *
Name of Guardian/Parent 2 *
Relationship with the child *
Relationship with the child *
Date of Birth *
Date of Birth *
Qualification *
Qualification *
Occupation
Occupation *
Name of Company
Name of Company *
Work Location *
Work Location *
Approx Annual Income (INR) *
Approx Annual Income (INR) *
Phone/mobile no. *
Phone/mobile no. *
Email *
Email *

Details of Last School Attended

Name of the school *
Curriculum / Board *
Grade / Class *
City *
Percentage of Marks / Grade *
State *
Reason for change *

Details of Child's Sibling(s)

Name 1
Education
Name of the school
Name 2
Education
Name of School

Verification

Please enter any two digits *Example: 12
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30 Years of Experience in Education

Admission Open