
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:
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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