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Binapani Balika Vidyalaya (H.S.)

P.O. Debalaya, District: (N) 24 Parganas

Application Form 2020 (Secondary Education)

 

1. Student's Name: ___________________________________________________

(a) Date of Birth:  ____________________________________________________

(b) Aadhaar number: _________________________________________________

2. Father's Name: _____________________________________________________

(a) Residential address: ________________________________________________

 

(b) Father's Occupation: ____________  (c) Contact number: _________________     

3. Mother's Name: _____________________________________________________

(a) Mother's Occupation: _______________________________________________

4. (a) Caste: ____________________    (b) Religion: _________________________

5. (a) Guardian's Name: ________________________________________________

   (b) Address: ________________________________________________________

   (c) Occupation: _______________________________________ ______________

   (d) Relationship with guardian: ________________________________________

6. Category: (a) General [  ]                         (b) Scheduled Caste [  ]    

   (c) Scheduled Tribe [  ]              (d) OBC [  ]                          (e) Minority [  ]

7. Name & Address of current school: _____________________________________________________________________

8. Preferable class of admission: ___________________________________                             

                                                                                                                                                         

                                                                                                                                                           

                                                                                                       Signature of Student

               I _____________________________ hereby declare that the above information about _____________________________  is to the best of my knowledge.

Date: ___________________                                                                                                                                                                        

                                                                                                                                                                                

                                                                                 Signature of father/mother/guardian

 

P.S. 1. Photocopies of Certificate of Birth, Aadhaar and Bank Passbook have to be submitted  

            with this form.

       2. Photocopy of Caste certificate for SC/ST/OBC candidates required.

       3. In case of absence of father/mother or both the fifth point in the form has to be filled up.

 

 

                                                                                                                                                Counterpart

                                                                                                                                             Admission form

Name of student: ______________________________________

Father's/Mother's/Guardian's name: ________________________________________

 

                                                                                                                                                                                                                                                          Signature of Headmistress