Form Download
CHAKPAHARI JR. HIGH SCHOOL
Address:- Vill-Chakpahari,P.O- Lego, P.S-Joypur,Dist-Bnakura,Pin-722141
Mob:-9732137158, Email:- chakpahari.jr.high.school@gmail.com
ADMISSION FORM
Class Name…………………….………………….. Admission Date………./……../……..
Name of the Applicant…………………….…………………………………………………….…
Father’s Name………………………………….……………………………………..
Mother’s Name………………………………….……………………………………..
Date of Birth…..…./……../……… Caste (Gen. / S.C / S.T / O.B.C)…………….….….…
Address ………………………………………………………………………………………..….……
………………………………………………………………………………………....…...….
State ………………………………………, Nationality…………………………..………....…..,
Mob. No……………………………….………………………………………………………………
Physically Handicapped (Yes / No) ………………….. Sex (Male/Female/Transgender)…………………………
AADHAAR No ……….………/…….…………/………..………. Annual Family Income……………………………
Bank Details:
Name of the Account Holder…………………………………………………………………………
Bank Name:- ………………………………………………………………………………………………..
Branch Name:-………………………………………… IFSC Code:- ………………………………
Bank Account No.:-………………………………………………………………………………………..
Enclosure (Check the box if the item is enclosed)
< >3 (Three) Stamp Size Photo.(2) Self attested copy of bank pass book. (3) Self attested copy of address proof (Aadhaar).
Declaration:
I do hereby declare that all the information stated in this application form are true to the best of my knowledge.
As I have followed the form carefully and regulations agree to abide by them.
Signature of the Guardian Signature of the Applicant
Date:- Stamp & Sign. of H.M
<!--![endif]---->