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APPLICATION FORM FOR ADMISSION FORM NO. _____ DEGANGA KARTICKPUR ADARSHA BALIKA VIDYAPITH(H.S) VII+P.O. – DEGANGA Dist. – NORTH 24 PARGANAS (FILL IN BLOCK LETTERS) Phone No. – 03216- 242565 1)Name of the Student: ______________________________________________________________________ 2)a) Father’s Name: __________________________________________________________________________ b) Occupation: ____________________________________________________________________________ 3) a) Mother’s Name: ________________________________________________________________________ b) Occupation: ____________________________________________________________________________ 4) Guardian’s Name(Father/Mother): ____________________________________________________________ 5) VILL:____________________________________________ P.O. _____________________________________ Dist: __________________________________________ Pin No. _____________________________ 6) Aadhar Number: ________________________________ Bank A/C No. ________________________________ Bank IFSC No. __________________________________ Phone No. ____________________________________ 7) Date of Birth: _____________________________ 8) a) Religion: ____________________________ b) Nationality : _______________ c) Blood Group: _________ 9) a) Caste : SC ST OBC Gen. b) BPL - Yes No c) Sub-caste (SC/ST/OBC): _______________________________________________ 10) Physically Handicapped: Yes No 11) M.P.(year passing) _____________ Name of the Board (class x) ____________________________ Regular C.C. Comp. Name of School last attended_________________ Total attendance: _____ 12) Seeking admission in class: ________________ 13) MARK OF M.P. (SUBJECT WISE) Bengali English Math. P.sc L.sc History Geography Additional subject Total Number Grade Signature of Student Signature of Guardian 14) Compulsory Subject: a) Bengali b) English 15) Optional Subject a) History b) Political Science c) Education d) Philosophy e) Geography f) Nutrition g) Sanskrit Signature of the Headmistress APPLICATION FORM FOR ADMISSION FORM NO. _____ DEGANGA KARTICKPUR ADARSHA BALIKA VIDYAPITH(H.S) VII+P.O. – DEGANGA Dist. – NORTH 24 PARGANAS (FILL IN BLOCK LETTERS) Phone No. – 03216- 242565 1)Name of the Student: ______________________________________________________________________ 2)a) Father’s Name: __________________________________________________________________________ b) Occupation: ____________________________________________________________________________ 3) a) Mother’s Name: ________________________________________________________________________ b) Occupation: ____________________________________________________________________________ 4) Guardian’s Name(Father/Mother): ____________________________________________________________ 5) VILL:____________________________________________ P.O. _____________________________________ Dist: __________________________________________ Pin No. _____________________________ 6) Aadhar Number: ________________________________ Bank A/C No. ________________________________ Bank IFSC No. __________________________________ Phone No. ____________________________________ 7) Date of Birth: _____________________________ 8) a) Religion: ____________________________ b) Nationality : __________________ c) Blood Group: _________ 9) a) Caste : SC ST OBC Gen. b) BPL - Yes No c) Sub-caste (SC/ST/OBC): _______________________________________________ 10) Physically Handicapped: Yes No 11) Previous Class: _____________ Marks of Previous class______________ Total attendance: ________ 12) Name of School last attended: ______________________________________________________________ 13) Seeking admission in class: ________________ Signature of Student Signature of Guardian APPLICATION FORM FOR ADMISSION FORM NO. _____ DEGANGA KARTICKPUR ADARSHA BALIKA VIDYAPITH(H.S) VII+P.O. – DEGANGA Dist. – NORTH 24 PARGANAS 1)Name of the Student: ______________________________________________________________________ 2)a) Father’s Name: __________________________________________________________________________ 3)Seeking admission in class _________ ( Signature & Office seal) ভর্তি হওয়ার সময় নিয়ে আসতে হবে । ১. পিতা ও মাতা উভয়ের অবশ্যই আসতে হবে। ২. Aadhar Card (Xerox) ৩. Bank A/C (Xerox) ৪. Birth Certificate (Xerox) ৫. Caste Certificate (Xerox) ৬. Disability Certificate (Xerox) ৭. Photo – stamp size (1 copy)