Form Download

                                                                                             ENTALLY ACADEMY                                      Index No. A1-021

                                                                                        Govt. Sponsored High School for Boys.            Phone No. 9836043451                       

            LOGO                                            (Recognised by the West Bengal Board of Secondary Education)              Stamp size  

                                                                                        Excelsior, Culture, Training, Discipline.                                     PHOTO                 

                                                                               23, GIRISH CHANDRA BOSE ROAD, KOLKATA-700014.

                                                                                                   ADMISSION FORM

           Admission No.                  EA/                                                                                                    Class..................................

      1. Name of the Pupil (In Block Letters).......................................................................................................................................

         Nationality............................................................... Religion...................................................................................................

      2.(a) Father's Name (In Block Letters)........................................................................................................................................

              Address...............................................................................................................................................................................

             P.O............................................... P.S..................................................... PIN......................................................................

            Ward No................................... Borough No.............................................. Telephone No...................................................

            Occupation...........................................................................................................................................................................

      (b) Mother's Name (In Block Letters).........................................................................................................................................

   3. Guardian's Name.......................................................................................................................................................................

       Address......................................................................................................................................................................................

       Occupation................................................................................................................................................................................

       Relation with the pupil...............................................................................................................................................................

   4. Class to which admission is sought..........................................................................................................................................

   5. Date of Birth (according to T.C./Birth Certificate)......................................................................................................................

   6. Age on the date of application..................................................................................................................................................

  7. Whether the pupil has Transfer Cerficate or any other evidence of age...................................................................................

  8. Whether the pupil belongs to Schedule caste or Schedule Tribe or O.B.C., if any...................................................................

       Mention the Sub-Caste

       (Proof is to be submitted for SC/ST/OBC)

  9. Whether the student is specially disabled :

 10. Class & Name of the previous Institution where the pupil studied........................................................................................

   I Solemnly declare that the particulars about Sri......................................................................................................................

        .......................................... are true and correct. My ward I must abide by the rules and regulations of this Institution.

     

     Signature of the Pupil                                                                                                    Signature of father or Guardian

      Date............................                                                                                                      Date.......................................