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SITAPUR ENDOWMENT SENIOR MADRASHA (FAZIL)

(Established during the reign of Nawab Alivardi Khan in 1751) GOVERNMENT RECOGNISED AND AIDED

Index No. 07-05-03-01-032

P.O-JAGATBALLAVPUR, P.S - JANGIPARA, Dist - HOOGHLY WEST BENGAL, PIN-711408

Phone: 9564371236/9732841703/03368263418

Class - (I-XII)

Admission Application Form

1. Name  ....................................................................................... Aadhar No......................................

2. Father's name...........................................................        Occupation......................................................

3.Mother's name  ...............................................................................Social Category (General/ OBC-A/OBC-B).............................................

3. Address:-........................................................................................

.........................................................................................................Pin.......................

4. Date of Birth............................................................................................................

5. BS Portal ID No. .....................................................................Previous School Name ................................................

6. Admission Date .................................................................................Admission Class...................................................

7. Bank Details: Banks Name...............................................................................Branch.........................................

A/C No. ............................................................................ IFS Code.......................................................

8. Guardain's Name..................................................................... Educational Qualication...........................................

Annual Income...............................................................................

9. For Fazil Admission

9.1.  Alim Examination Roll........................................... No...........................................Registration no. ............................... Year.................

Pass out Year...............................................................Optional subjects History / Geography...................................

 

 

Signature of parent / Guardain with date                                                                                             Signature of Superintendent/ TIC