
ADMISSION FORM OF CLASS –V/VI/VII/VIII
BAGAKHULIA ADARSHA VIDYAMANDIR(JR.H.S)
P.0.-PATHARDOBA P.S-SIMLAPAL SUB DIV-KHATRA DIST-BANKURA PIN 722151
NAME:…………………………………………………….
DATE OF BIRTH:- / /
GENDER:- MALE ( ) FEMALE ( )
NATIONALITY :- INDIAN
RELIGION :-HINDU( ) MUSLIM ( )
CASTE- GENERAL ( ) / SC ( )/ ST ( )/ OBC ( )
NAME OF FATHER :-
NAME OF MOTHER :
PERMANENT ADDRESS:-
VILL-
P.O.-
P.S-
DIST- PIN –
PRESENT ADDRESS:- VILL- P.O. - P.S.
DIST- PIN-
STUDENT’S ID:
AADHAR CARD NO :
BANK ACCOUNT NO: BANK NAME: IFSC:
SIGN OF FATHER/MOTHER/GURDIAN HM/TIC SIGN OF STUDENT