Form Download
Jamira Junior High School
vill.-Jamira,P.O.-Uttar Durgapur,P.S.-Shyampur, Dist.-Howrah
Estd.-2011,Pin Code No.-711312
Admission Form
01.Student’s Name :…………………………………......................................................................
02.Father’s Name……………………………………………………………………………………......
03.Mother’s Name:……………………………………………………………………………………….
04. Name of Guardian……………………………………………………………………………………
05. Male/Fermale:…………..…..06. Date of Birth : ……………………………………..07.Caste:…………………………
08.Religion………………….09. B.P.L.: Yes/No 10.Admission applied for class ………..in the year………………
11. Name of the Last Institution studied…………………………………………………………………………………
12. Address : Vill……………………………….P.O.………………………………P.S…………………………..Dist……………………………….
Pin………………………….
13.Contact No…………………………. 14Aadhaar Card available: Yes/No If yes Aadhaar Card No…………………………………………….
15.Bank Account available: Yes/No If yes Account Number…………………………………………… IFSC Code……………………………………….Name of the Bank……………………………………… Branch Code………………………
Student’s Signature……………………………………………………………
Date: ……………………………. Guardian’s Signature…………………………………………………………...
…………………………………………………..
Date:…………………………….. (Signature of H.M./ T.I.C. with seal)