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Shri Sanatan Dharma Vidyalaya

(Govt. Sponsored High School)

ESTD: 1915

4D, Madan Mohan Burman Street, Kol-7

 

                                                                                                                                                                     Admission No:                                

 

1. Name of Student:
2. Father’s Name:
3. Mother’s Name:
4. Caste & Religion:
5. Guardian’s Name:
6. Home Address:
7. Post Office:
8. Pin code:
9. Police Station:
10. Date of Birth:
11. With whom the student lives? :
12. Proof of date of birth:
13. Class in which he seeks admission:
14. School & class last attended
15. Phone No:
16. Adhaar No:

 

I solemnly declare that the above particulars about my son/ward ________________________________________ are true and correct.

Guardian’s Signature: _________________________.

 

FOR OFFICIAL USE ONLY

 

Date: _________________                                                                                                                                     Admitted in class: _____

 

                                                                                                                                                         Headmaster:________________________