
SL.NO…………./20……
ATHPUR HIGH (H.S.) SCHOOL
ADMISSION FORM
ACADEMIC YEAR : 20 ….. TO 20 …….
1.NAME OF THE STUDENT ( IN CAPITAL) …………………………………………………………………………………………………
a) NATIONALITY ……………………….. b) RELIGION …………………………. C) CASTE ………………………………………….
(Please submit caste certificate if SC/ST/OBC)
d) MOB NO : +91 ………………………………………………………………
e)AADHAR NO : …………………………………………………………………………………………………….
f) DATE OF BIRTH : ____/____/_________ ( Please submit copy of birth certificate)
g) STUDENT ID :
2. a) NAME OF PARENT : ……………………………………………………………………………………………………………………….
b) OCCUPATION : ……………………………………………………
c) PERMANENT ADDRESS: ……………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………..
d) ANNUAL INCOME : Rs……………………………………………………………………….
3. a) GUARDIAN’S NAME : …………………………………………………………………………………………………………………………
b) ADDRESS : …………………………………………………………………………………………………………………………………………….
c) RELATION : ……………………………………………………………..
5. ADMISSION SOUGHT IN CLASS : …………………………….
6. NAME OF SCHOOL LAST ATTENDED : ………………………………………………………………………………..
7. YEAR OF PASSING M.P. EXAM. : ………………………………………………………………….
8. PERCENTAGE OF MARKS OBTAINED : ……………………………………………………
9. SUBJECTS (FOR ADMISSION IN CLASS XI ONLY)
a) FL : BENGALI b) SL : ENGLISH
c) ………………………………………………………………… d) …………………………………………………………………..
e) ……………………………………………………………….. f) ………………………………………………………………………
Information furnished above are true to the best of my knowledge.
I shall abide by the rules and regulations of the School.
___________________________________ _____________________________
Signature of Student Signature of Guardian
ACKNOWLEDGEMENT SL .NO.: ……………………./ 20………
NAME OF THE STUDENT : ………………………………………………………………………………………………………………………..
ADMISSION IN CLASS : …………………………………………
NAME OF THE PARENT : ………………………………………………………………………………………………………………………….