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 ARJUNPUR HIGH      SCHOOL (H.S)

P.O. Arjunpur, Dist. Murshidabad,

              APPLICATION FOR ADMISSION TO H.S.     COURSE (ARTS/SCIENCE)

 

                                                                                                                                               Session -20.....     -20.....

                 Name in full ( in block Capital)..............................................................................................................

                 Date of birth (according to M.P..Certificate) .......................................................................................................

Race :  ...............                                                                                Caste ( GEN,SC,ST, OBC,).....................................

Religion :  ................................                                                       Nationality..........................

Married / Unmarried ......................................                             Gender : Male/Female......................................................

 Father's Name:- ...................................................................Occupation: -.........................................................................

Mother's Name : .................................................................... Occupation:-.........................................................................

 Legal guardian's name (if father not alive)...............................................   Occupation.......................................................

Permanent address of Father of Legal Guardian:-..............................................

Vill.....................................................  PO: ....................................DIST:-.......................................Mob:-............................................

Name of Local Guardian (if any );

Relationship: .....................................................                        Occupation :- ...............................................

Full address : -

Name of School last attended :

 Board Examination Passed:-....................................................      Name of Board:-...................................................

Year of passing: -..................................         Roll:-................... No. :- ..................

Marks obtained :

Subject

Beng

Eng

Math

P. Sc

L. Se

Hist

Geo

Add

 

Total

Div/Pass/

Overall grade

Full

Marks

100

100

100

100

100

100

100

 

 

700

 

Marks

Obtained

 

 

 

 

 

 

 

 

 

 

 

 (Xeroxed copy of mark sheet and Admit must be attached)

In case of Migration, State : .............................................University / Board:

Examination Passed :                                                        Year.                                         Div

Subjects to be taken up:           1)Compulsory Subjects: 1) BENGALI 2) ENGLISH

  1. Eliecive Subjects : HIST, POLS, GEGR. PHIL, EDCN, ARBC, SANS, H.PHED (Tick Mark Any three)
  2. Opional Stibject: HIST, POLS, GEGR, PHIL, EDCN, ARBC, SANs, H.PHED. (Tick Mark Any one)
  3. Science Subject: CHEMISTRY.PHYSICS, MATH, BIO-LOGY. (Tick Mark Any three)

I declare that I shall abide by the rules of the school. I am applying for admission to the Higher Secondary ( Arts / Science ) course.( Class XI)

Date. ....................................

Signature of the applicant