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         ROUTHKHANDA PRIMARY SCHOOL

                                   JOYPUR NORTH CIRCLE      JOYPUR      BANKUR              

                     EMAIL:- routhkhandaps@gmail.com              CONTACT :- 9732329674

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                                  ADMISSION FORM

Date:-_________                    session:-20_____

Admission no.________               

Class:-  ________                Id:-________________________

1.Student name :- _____________________________________Gender______

2.DOB ______________   (attach birth certificate xerox)

3.Aadhaar no.____________________________  4.Nationality ____________

5.Caste____________6. BPL No.________________7. Religion____________

8.Father name_____________________________9. Occupation____________

10.Mother name__________________________11. Occupation____________

12.Mobile No. Father_______________________Mother__________________

13.Address  Vill:-________________________P.O._______________________

     Block:-_________________ Dist:-_______________Pin:-________________

14.Guardian Name:-_________________________Mobile_________________

15.Guardian’s Address   Vill:-__________________ P.O___________________

      Block:-_________________ Dist:-_______________Pin:-_______________

 

 

Guardian Sign                                                                              Head Teacher Sign