Form Download
Admission Form No.
Furfura High Madrasah(H.S)
P.O - Furfura. Dist – Hooghly. Pin – 712706 .W.B
1.Name of the Student (in block letter) ______________________________________________.
2.Name of the Student (in Bengali) __________________________________________________.
3. Name of Father (in block letter) ___________________________________________________.
4. Name of Father (in Bengali) _______________________________________________________. 5. Name of Mother (in block letter) ___________________________________________________.
6. Name of Mother (in Bengali) ______________________________________________________.
7. Father’s Qualification _________________, 8. Father’s Profession ______________________.
9. Permanent Address: Village _________________ P.O _______________ P.S.______________ Dist _________________ Pin _______________ Phone No _________________________________
10. Local Guardian Name ____________________________________________________________
11. His/her Profession _______________________________________________________________
12. Present Address: Village _________________ P.O ________________ P.S. ________________
Dist ____________________ Pin _______________ Phone No (if any) ________________________
13. Date of Birth (According to Birth Registration Certificate) ______________(DD/MM/YYYY)
14. Last class attended:________________________, 15. Session:_________________________
16. Name of the School last attended ________________________________________________
17. Student’s BSP I’d:________________________________________________________________
18. Whether SC/ST/OBC (Attached Xerox copy certificate) ______________________________
19. Nationality _______________ 20. Religion ________________ 21. Caste ________________
22. Bank Details (i) A/C No. ________________________________________________________
(ii) Name of Bank: ___________________ (iii) IFSC:_______________, Branch:______________
23. Aadhar No of the student:______________________________________________________
24. Is Student’s Aadhar and Birth Certificate unique one: (Yes / No)____________________
________________________ _________________________
Signature of the Student. Signature of the Guardian
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Received an application from of __________________________________________S/o./ D/o. _______________________________ for admission to class______ dated on ____________ .