
Phone : (033) 2335-0294 Issued By FROM NO
H. S. Code : 103323
Index No. : B1-184
SUKANTANAGAR VIDYANIKETAN (HIGHER SECONDARY)
(Govt. Sponsored)
Recognised by W.B.B.S.E. & W.B.C.H.S. Education
SUKANTANAGAR. SALT LAKE, SCETOR-IV, KOLKATA- 700 098
ADMISSION FORM
Name of the Student ( In Block Letter): ………………………………………………………............................................................……………………................................
Father;s Name ( In Block Letter): ………………………………………………………………………………….…………………………………………………………………….
Mother’s Name ( In Block Letter): ………………………………………………………………………………...…………………………………………………………………….
Sex : ( Male / Female) …………………………………………………………………………. Date of Birth …………………………..……………………………………………
Religion :………………………………………………………….. Caste : ……………………………………………Sub-Caste …………………………………………………..
Nationality: ……………………………………………………………………………… Mobile Number : ……………………………………………………………………………
Full Address : ……………………………………………………………………………………………………..………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………………….
Guardian’s Name : In absence of parents ): ……………………………………………………………………………………………………………………………………………
Adhar Number : …………………………………….....…………………………………………………………………………………………………………………………………..
Bank A/C No. ………………………………………………………………………………………Branch :…………………………………………………………………………….
Name of the Bank………………………………………………………………………………… IFSC Code : ………………………………………………………………………
Name of the school passed from : ……………………………………………………………………………………………………………………………………………………..
In which class is to be admitted : …………………………………………………………………………………………………………………………………………………………
ID No of the student of previous school of Possible : …………………………………………………………………………………………………………………………………
………………………….. …………………………..
Signature of the student Signature of the Guardian
Name of the Student ( In Block Letter): ……………………………………………………………………………………………………………………………………
Father;s Name ( In Block Letter): ………………………………………………………………………………………………………………………………………….
In which class is to be admitted : …………………………………………………………………………………………………………………………………………..
……………………………………..
Signature of the Headmaster
[ Xerox copy of Date of Birth certificate, Sub-Caste Certificate, Adhar Card, Bank A/C Passbook Submit along with this form]