Form Download
BARAJAGULI GOPAL ACADEMY (H.S.)
P.O. - BARAJAGULI, DIST. – NADIA
|
Colour Photo |
Sl. No. -
20.......
APPLICATION FORM FOR ADMISSION TO CLASS __________ MEDIUM __________
1. Name of Student : ..............................................................................................ID No………………………... (Submit Online Transfer Certificate)
Date of Birth : ....................... Gender Male / Female : .........................
(Submit Attested Copy of Birth Certificate) Blood Group : ........................ Mother Tongue : ...........................
2. Father’s Name : .......................................................................................... Mob. No. : ....................................
Occupation : ............................................................................................ Monthly Income : ...........................
3. Mother’s Name : ........................................................................................ Occupation : .................................
Mob. No. : .......................................................
4. Address :
Village : .............................................. Post Office : ............................ Police Station : ...................................
Block : ......................................................... District : …….......................................... Pin : ............................
5. Name & Address of Guardian : .........................................................................................................................
................................................................................................................................................................................
6. Relation with Guardian : ...................................................................................................................................
7. Nationality : ...................................................... Religion : ...............................................................................
8. Whether belongs to SC/ ST / OBC/ OTHERS ........................................ Sub -Caste : .................................
(Submit Attested Copy of Caste Certificate, if any)
9. Aadhar No. : .....................................................................................................................................................
(Submit Self Attested Xerox Copy )
10. Name & Address of School last Attended : .................................................................................................
..........................................................................................................................................................................
Signature of Student Signature of Guardian
(FOR OFFICE USE ONLY)
Admitted to Class : ______________
Date : .................................
.............................................................................................................................................................................................................................................................................
ADMISSION TEST : 20.......... FOR CLASS .........................
Name : ........................................................................................................................................................
Sl. No. : ................................... Date of Admission Test ..................................... Time : .................
Date : ................................... Signature