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ADMISSION FORM NAZIRHAT HARKUMARI HIGH SCHOOL Please complete all sections clearly. Attach required documents listed at the end. Banglar Shiksha ID (if available): ___________________________________________ STUDENT DETAILS Full Name: _______________________________ Date of Birth (DD/MM/YYYY): _______________ Gender: [ ] Male [ ] Female [ ] Other Address: _______________________________ Contact Number: __________________________ Email (if any): __________________________ PARENT/GUARDIAN DETAILS Full Name: _______________________________ Relationship to Student: ___________________ Contact Number: __________________________ Email: _______________________________ Occupation: _____________________________ Address (if different): ____________________ ACADEMIC HISTORY Previous School Name: ____________________ Address: _______________________________ Class/Year Completed: ___________________ Marks/Grades Obtained: __________________ HEALTH INFORMATION Allergies: ______________________________ Medications: ___________________________ Medical Conditions: _____________________ Emergency Contact Name: _________________ Emergency Contact Number: _______________ ADMISSION INFORMATION Class Applying For: ______________________ Academic Year: __________________________ Reason for Admission: ____________________ DECLARATION I certify that the information provided is accurate. I understand that providing false information may lead to rejection of the application. Parent/Guardian Signature: ________________ Date: _______________________________ REQUIRED DOCUMENTS: Birth Certificate Copy Previous School Leaving Certificate Recent Report Card Bank Account Information Address Proof Two Passport-Size Photographs