
KANKRAI GANGADHAR SIKSHAYATAN
Admission Form
Recent Passport
Size Colour Photograph
Academic Year -
Student's Name - .................................................................................
D. O. B. - .................................................................................
Gender - ................................................................................
Social Category - SC/ ST/ OBC- A/ OBC-B/ GENERAL
Religion - ................................................................................
Mother Tongue - ................................................................................
Nationality - ................................................................................
Aadhaar No. - ................................................................................
Blood group - ................................................................................
Admission of Class - .............................., Previous Class - ...................
Address -
i) Vill - ............................................ , ii) P.O. -...................................................
iii) P.S. -.............................................., iv) Block -..............................................
V) Dist. -............................................, vi) Pin Code - .........................................
Father's Name - ................................................................................
Mother's Name - ................................................................................
Gurdian's Name - ................................................................................
Contract No . - ................................................................................
Relationship with Gurdian - ................................................................................
Annual Family Income - ................................................................................
Gurdian's Qualification - ................................................................................
BPL Status : Yes/ No - ................................................................................
IF Yes, BPL No. - ................................................................................
Bank Details:
i) Bank Name - ................................................................................
ii) Branch Name - ................................................................................
iii) IFSC Code - ................................................................................
iv) Account No. - ................................................................................
Student's Signature Gurdian's Signature
........................................... .............................................