ARJUNPUR HIGH SCHOOL (H.S)
P.O. Arjunpur, Dist. Murshidabad,
APPLICATION FOR ADMISSION TO H.S. COURSE (ARTS/SCIENCE)
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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 |
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Total |
Div/Pass/ Overall grade |
Full Marks |
100 |
100 |
100 |
100 |
100 |
100 |
100 |
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700 |
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Marks Obtained |
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(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
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