
1. Name of Applicant (Block Letters) : 2. Aadhaar No. 3. Bank A/C No. 4. Father’s Name( Block Letters): 5. Father’s Occupation : 6. Mother’s Name( Block Letters) : 7. Name of Guardian: 8. Relationship with Guardian : 9 a) Occupation : b) Annual Income : 10. Place of Birth : 9. Nationality : 11. a) Caste : Gen. SC ST OBC Minority b) Sub-Caste :- 12. Gender :- Male Female 13. Religion :- 14.a) Date of Birth :- D D M M Y Y Y Y b) Present Age :- 15. Mobile No. 16 a). Disabilities :- Yes / No b) % Of Disabilities :- 17 a). Present Address Vill.:- P.O.:- P.S.:- Dist.:- Nadia. 18.b). Permanent Address :- Vill.:- P.O. :- P.S.:- Dist.:- 19. BPL :- Yes \ No BPL – ID- WB – 13 19. Admission Sought in Class :- 20. Name & Address of Institution attended Last :- GOBINDAPUR G.S.F. PRIMARY SCHOOL HANSKHALI EAST CIRCLE GOBINDAPUR COLONY , HANSKHALI , NADIA. SCHOOL CODE -19101204103 -: ADMISSION FORM - 2020 :- Signature of father or mother signature of head teacher