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BAHARA ADARSHA VIDYAPITH(H.S)
[ESTD . – 1954]
VILL + P.O – BAHARA , P.S – KANDI , DIST – MURSHIDABAD
YEAR : SL. NO. -
APPLICATION FOR ADMISSION (CLASS V TO IX)
- NAME OF THE STUDENT : ___________________________________________________________________
2. FATHER’S NAME : ____________________________________________ OCCUPATION : _________________
3. MOTHER’S NAME: __________________________________________ OCCUPATION : _________________
4. DATE OF BIRTH : _________________________________ 5. GENDER : ___________________________
6. ADDERSS : VILL : _________________________ P.O - ______________________ P.S - __________________
DIST : ______________________________________ PIN - ____________________________
7. MOBILE NO. : _______________________________ WHATSAPP NO. - _____________________________
8. NATIONALITY : ______________________________ 9. RELIGION : ________________________________
10. AADHAAR NO. - __________________________________________________________________________
11. IN WHICH CLASS HE WANTS TO ADMIT : ____________________________________________________
12. PREVIOUS CLASS : _________ PREVIOUS SEC : _________________ PREVIOUS ROLL NO : ______________
13. WHEATHER HANDICAPPED OR NOT : _________________________________________________________
14. WHEATHER APL / BPL : _____________ 15. CASTE : _________________ SUB – CASTE : _______________
____________________ ______________________
SIGNATURE OF HEADMASTER WITH STAMP FATHER / MOTHER / GURDIAN’S SIGNATURE
OF PREVIOUS ACADEMIC YEAR