
NICHUBASA HINDI UP SCHOOL ESTD- 1917, DISE CODE- 19113000601 N.S. PATH, P.O. - KANCHRAPARA, NORTH 24 PARAGANAS, CIRCLE- BIZPUR ADMISSION FORM Class in which admission is sought for - ………. Session - ………………. Admission no. & date - ………….. 1. a) Name of the child (in CAPITAL LETTERS) - ……………………………………………………………………………. b) Aadhar card number- ………………………………………………………… c) Sex- MALE FEMALE 2. Date of birth - ………/…………/………… Age of the student as on 01st Jan- YEAR- ……………… MONTH- ………………. DAYS- …………….. 3. Do you belong to GEN. / SC/ ST/ OBC- ……………………………….. 4. Religion- …………………………………… 5. Birth certificate registration no. - …………………………………………….. 6. Details of parents- DETAILS OF MOTHER & FATHER MOTHER FATHER Name ( in CAPITAL LETTERS ) Occupation Residential address Permanent address Mobile number 7. Name and address of local Guardian (if any) -...…………………………………………….......................... ……………………………………………………………………………………………………………………………………………….. 8. Name of the previous school with class- …………………………………………………………………………………. 9. No. & date of T.C. issued by previous school with status of result- …………………………………………. Above mentioned student admitted to class…………….. Sign of parents/ guardian Sign of TIC/ headmaster NOTE- BRING XEROX OF AADHAR CARD (IF AVAILABLE), BIRTH CERTIFICATE, AND T.C. OF PREVIOUS SCHOOL (IF APPLICABLE) AS WELL AS 2 COPIES OF PHOTOS AT THE TIME OF ADMISSION