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Panchabatti Higher Secondary School

Shelpu, PO Shelpu, Darjeeling

 

Signature of the issuing authority:

1. Name:                                                                                                             

2. Male/Female:

3. Date of Birth:

4. Father’s Name:

5. Occupation of Father:

6. Mother’s Name:

7. Name of the school last attended:

8. Seeking admission for class:

9. Address:

10. Religion:

11. Category (SC/ST/OBC):

12. Phone Number:

13. Email:

Note:

• Incomplete admission form will not be accepted.

• Original transfer certificate and character certificate should be submitted during the time of admission.

• Marksheet should be submitted during the time of admission.

 

Declaration

I hereby declare that all the particulars stated in the application are true to the best of my knowledge and belief, in the event of suppression or distortion of any fact and if, already admitted, my admission is liable for cancellation, further if admitted, I promise to abide by the rules and norms of discipline of the school.

 

 

Date:                                                                                                                                    Signature of Student