Form Download
PODUMA BHUBANESWARI JR. HIGH SCHOOL
VILL-PODUMA,P.O-SIHAS,P.S-KOTULPUR,DIST-BANKURA,PIN-722141
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……………………………
Details of Educational Qualification:
|
Sl . No |
Name of the Exam/ Course |
Board/University/School |
Year of Passing |
Total Marks |
Marks Obtain |
% of Marks |
Grade/ Division/ Total attendance of the school in the last academic year |
|
1 |
|
|
|
|
|
|
|
|
2 |
|
|
|
|
|
|
|
(Self attested copy of Mark sheet & Admit must be produced)
Enclosure (Check the box if the item is enclosed)
< >3 (Three) Stamp Size Photo.(2) Self attested copy of qualifying certificate. (3) Self attested copy of address proof.
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]---->