MAGURA HIGH SCHOOL(H.S)

                                                                                     P.O- MAGURA            BLOCK- JOYPUR            DIST- BANKURA

                                                                                    H.S CODE-114174                        email-magurahighschool@gmail.com

                                                                                                    APPLICATION FORM FOR ADMISSION TO CLASS-XI

1. Name of the applicant(in BLOCK letters):....................................................................................

2. Date of birth (as per M.P admit card):      .....................................................................................

3. Name of Father                                        :..........................................................................................

4.Name of Mother                                       :..........................................................................................

5. Name of Guardian   :.......................................... 6. Occupation of guardian:..................................

7. Address:          VILL:........................................................... P.O:.......................................................

                            P.S:...................................................... DIST:..............................................................

                            PIN:.........................................................

8. Religion   :...........................................                    9. Sex :  Male/ Female/Others

 10. Caste: GEN/SC/ST/OBC/OBC-A (Please tick)        11.  Sub-Caste:..............................................

12.Mobile No (mandatory) :.........................................................        13. BPL:   Yes/No

14. Details of M.P Examination:

(a) Name of the school last attended: .................................................................. (b) Year:..............

(c) Roll:.....................................    (d) No:................................   (e) Reg No:.......................................

(f) Marks Obtained:

15. Subjects sought for H.S Section:

(a) Compulsory Elective:                (1) Bengali           (2) English

(b) Optional Elective: (1).............................................  (2)................................................

                                       (3)..............................................  (4)...............................................

16. Aadhar No:

17. Bank Details:

(a) Account No:....................................................................(b)Bank Name:......................................

(c) Branch:..........................................    (d) IFS Code :........................................................

18. Declaration by the applicant:

           I do hereby declare that the above information given by me is true and I will be solely responsible for any kind of false information.

                 I also declare to abide by the discipline, rules and regulations of the institution.

Date:...............................                                                                                                                                     Signature of the applicant

19. Declaration by Father/Mother/Guardian:

                 I do hereby declare that the above information given by ....................................... is true and I will be held responsible for his/her conduct,

                     attendance, studies and payment of school fees in time.

                                                                                                               (FOR OFFICE USE ONLY)

                                                                                  Admitted to Class XI with the following Optional Elective subjects:

                                                                           (1)………………..    (2)……………………(3)………………………(4)…………………..

                                                  Checked by                                                                                                                                            Signature of HOI