
SANTRAGACHI BHANUMATI GIRLS'S SCHOOL
(Primary Section)
ADMISSION FORM
Admitted in Class ……………………….
Date ……………………………………………
Student's Name ………………………………………………………………………………………………………………………
(IN BLOCK LETTER)
Father's Name ………………………………………………………………………………………………………………………
(IN BLOCK LETTER)
Mother’s Name …………………………………………………..…………………………………………………………………
(IN BLOCK LETTER)
Occupation …………………………………………………………………………………………………………………………….
Guardian's Name ………………………………………………………………………………………………………………….
Occupation ……………………………………………………………………………………………………………………………
Present Address ……………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Phone No. ………………………………………………………………………………………………………………………………
Date of Birth …………………………………………………………………………………………………………………………
Age ....…………………… Year ......…………..... Month ..…………..……......... Days ...……………..…........
Name of Previous School with Class ………………………………………………………………………………………
SC/ST/OBC Certificate ……………………………………………………………………………………………………………
………………………………………
Student's Signature
………………………………………………… ……………………………………….…………
Signature of the Guardian Signature of the Headmistress