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GANDHI SEVA SANGHA BUNIADI MADHYAMIK VIDYALAYA

(GOVT. SPONSORD)

207/1, S. K. DEB ROAD, KOLKATA – 700048

ADMISSION FORM

1. Name of the Student                       :
2. Father’s Name                                  :
3. Address                                              :
4. Occupation                                       :
5. Mother’s Name                                 :
6. Address                                              :
7. Occupation                                       :
8. Guardian’s Name                             :
9. Address                                              :
10. Occupation                                       :
11. Guardian’s Photo ID No.                 :
12. Student’s Aadhar No.                      :
13. Student’s Ration Card No.             :
14. Date of birth                                     :
15. Birth place                                        :
16. Guardian’s Mobile No.                    :
17. Caste                                                  :
18. Family Income (Yearly)                 :

Date & Signature of the Student                                                       Date & Signature of the Guardian

Remarks & Signature of the Headmaster