Form Download
NO- Date of issue.................................................
FULIA KRITTIBAS SMRITI VISYALAYA
HIGHER SECONDARY -10+2
P.O-FULIA BOYRA ,DIST.-NADIA.
APPLICATION FROM FOR ADMISSION TO CLASS V TO XII 20.....20
|
FOR OFFICE USE ONLY ADMISSION SERIAL NO............................................ CLASS.................................. SEC.................................. ROLL NO..................YEAR................ HEADMASTER |
1. NAME OF THE APPLICANT : ..................................................................................................................................................................IN BLOCK LETTERS
2. PERMANENT ADDRESS OF THE APPLICANT....................................................................................................................................................................................
3. A) FATHER'S NAME....................................................................................MOTHER'S NAME.............................................................................................................
B) NAME OF THE GUARDIAN IF FATHER IS NOT ALIVE.......................................................................................................................................................................
C) OCCUPATION OF THE FATHER / GUARDIAN.....................................................................................................................................................................................
D) PERMANENT ADDRESS......................................................................................................................................................................................................................
E) MOBILE NO ...........................................................................................................................................................................................................................................
F) RELATIONSHIP OF THE GUARDIAN WITH THE APPLICANT.............................................................................................................................................................
4.A) NAME OF THE SCHOOL ...................................................................................................................................................................................................................
B) PERIOD OF STUDY FROM............................................................................................ TO.................................................................................................................
5. MARKS OBTINED AT THE MADHYAMIK EXAMINTION IN 20.....................OF THE...........................................................................................................................
BOARD OF SECONADARY EDUCATION OR EQUIVALENT.
| SUBJECT | BEN | ENG | MATH | P.SC | L.SC | HIS | GEOG | ADDI IF ANY | TOTAL | DIVISION |
| FULL MARKS | ||||||||||
| MARKS OBTAINED |
ATTESTED COPY OF MARK-SHEET MUST BE SUBMITTED
6.NAME OF THE STREAM SEEKING ADMISSION -GENERAL -ARTS
7. CLASS WHICH THE APPLICNT WISHES TO JOIN XI
8. NATIONALITY ...................................9.RACE..............................................10.RELIGION.......................................................
11. IF HE /SHE BELONG TO THE SCH. ACST/ TRIBE/ OBC ...................................................(ATTESTED COPY OF CERTIFICATE CARD MUST BE SUBMITTED)
12. DATE OF BIRTH ...........................................................................(ATTESTED COPY OF ADMIT CARD MUST BE SUBMITTED)
13.SUBJECTS PROPOSED TO BE TAKEN COMPULSORY 1.BENGALI.........2. ENGLISH.......
BBELECTIVES 1.............................2...............................3.............................
ADDITIONAL ......................................................................
........................................................................................................................................................................................................................................................................
RECEIVED FROM..................................................................................................................................AN APPLICATION FROM FOR ADMISSION TO CLASS XI IN FULI KRITTIBAS SMRITI VIDAYALAYA.
DATE OF COUNSELLING ...............................................................................
DATE........................................................ RECEIVING CLERK