
SAMAJ KALYAN SANGHA BALIKA VIDYALAYA(HIGH)
VILL: KOTALGHATA, P.O: KUSHBERIA, DIST: HOWRAH.
ADMISSION FORM
STUDENT’S NAME-
FATHER’S NAME-
MOBILE NO: -
OCCUPATION-
CASTE- SUB CASTE-
RELIGION-
ADDRESS- AADHAR NO-
MOTHER’S NAME –
GUARDIAN’S NAME- RELATION-
ADDRESS-
STUDENT’S ACCOUNT NO- BANK’S NAME-
IFSC CODE-
NAME AND ADRESS OF PREVIOUS SCHOOL-
BPL- APL- PHYSICALLY CHALLENGE: YES/NO-
DATE OF BIRTH-
AGE AT THE TIME OF ADMISSION- YEARS: MONTHS: DAYS:
CLASS FOR ADMISSION-
I DECLARE THAT ALL THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE.
DATE-
FATHER’S/ MOTHER’S /GUARDIAN’S SIGNATURE: