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                                                     BARANAGAR MAYAPITH NARI SIKSHA ASHRAM

                                                                                       ADMISSION FOR GENERAL (HIGHER SECONDARY)
                                                                           277/1,Gopal Lal Tagore Road, & 35,Moira Danga Road,Kolkata-700 036
 
1. NAME OF THE STUDENT                   _______________________________________
2. GENDER                                          _____________________

3. FULL NAME OF THE FATHER            _______________________________________

4. FULL NAME OF THE MOTHER          _______________________________________
5. FULL NAME OF THE GURDIAN         _______________________________________
6. PERMANENT ADDRESS OF THE STUDENT _________________________________
7. PHONE NUMBER                                        _________________________________
8. DATE OF BIRTH  :  DATE_____ MONTH____ YEAR
9.PHYSICALLY CHALLENGED (’Yes’ or ‘No’ and ‘Yes’ attach xerox copy)  ___________
Visually Handicapped Hearing Orthopaedically  (YES/ NO)
Impaired Handicapped
10. RELIGION   _________________    CATEGORY(attach xerox copy)GEN / SC /ST /OBC   ________________________________
11. NATIONALITY                                             ________________________________
12. MOTHER TONGUE                                    ________________________________
13. RELATION WITH GUARDIAN                      ________________________________
14. NAME OF THE BOARD / COUNCIL AND ROLL NO. __________________________
15. THE SCHOOL LAST ATTENDED                            __________________________
16. Madhyamik or Equlvalent Examination (attach Xerox copyof Admit Card & Result)*
M.P. / Equivalent Year Board Full Marks Marks %  obtained     ___________________      
                                                         
17. Elective Subjects                                       ___________________________________

 

Set- I :- 1. Bengali. 2. English. 3. Physics. 4. Chemistry. 5. Mathematics 6. Biology.

Set- Il :- 1.Bengali . 2. English. 3. Nutrition. 4. Chemistry /Geography / Sanskrit.
Set- III :- 1. Bengali. 2. English. 3. Political Science / Education / Nutrition 4. Philosophy /Sanskrit 5. History / Computer Application 6. Geography / Home science
Set- IV :- 1. Bengali. 2. English. 3. Political Science 4. Education / Philosophy 5. History / Home Science 6. Computer Application
Set- V :- 1. Bengali. 2. English. 3. Physics/Nutrition. 4. Chemistry. 5. Mathematics / Geography 6. Biology. 5. Geography / Computer Application . 6. Biology.
 
 
Parent’s / Guardian’s Signature & Date
Parent’s / Guardian’s Address
Student’s Address (present)
Full Signature of the Student & Date
                                                                                                                                                                      Signature of the Headmistress