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                                                        JAGANNATHPUR SHYAMPUR HIGH SCHOOL 

                                                                                        P.O- MAGURA    *    BLOCK- JOYPUR      *  DIST- BANKURA

 

                                                                                 

                                                                                                       APPLICATION FORM FOR ADMISSION

                                                                                                                             Session-  20...... to  20......

 

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. Aadhar No:

 

 

 

 

 

 

 

 

 

 

 

 

15. Bank Details:

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

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

16. 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

17. 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.

 

Date:......................................                                                                                                                                   Signature of Father/Mother/Guardian