FORM NO:-………………
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RAMKRISHNAPUR HIGH SCHOOL(HS)
[Higher Secondary (General)] * H.S- Code-02518
[Govt.Aided & Co-Ed] * Estd-1930. * Index- C2-165
P.O.-Ramkrishnapur * P.S- Kulpi. * Dist- South 24 Parganas
( ADMISSION FORM FOR CLASS – XI FOR THE YEAR 20……)
FOR OFFICE USE ONLY |
Class-………….………
Section:-………………. Unique ID:-……………………..…
Roll:-……………………………
Signature & date of Teacher |
Remarks if any:-………………….
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(All Information should be written in Block letters. Incomplete Application is liable to be rejected)
Paste a recent passport size photo |
1) Name of Student……………………………… ……………………………………………………………………………………
2) Father’s Name ………………………………………………………..……….... Occupation……………………………
3) Mother’S Name…………………………………………………….......…… Occupation……………………………….
4) Name of Guardian( If any other than parents)……….………………………………………………………….
5) Address :- Village/ City…………………………………………………P.O-…………………………………………………
P.S-………………………………………………. Dist………………………………………………….. Pin:-…….………………….
Mobile No-…………………………………………………………
6) The Name of the School last attended :-………………………………..……………………..…………………………………………………………
Address:-…………………………………………………………………………………………………………………………………………….………………………..
7) Date of Birth :- (DD) …………/(MM)…….…../(YYYY)……………… (8) Gender:-( Male/Female/Other)…………………..………
8) Nationality:-…………………………. 9) Religion:- Hindu/Muslim…...........................10) Cast:-.(SC/ST/OBC)……………………
11) Sub Cast- ………………..……......12) Physically Challanged :- Yes/No……… 13)IF Yes Certificate No…………………………..
14) Results of Madhyamik or Equivalent Examination:-
Year of Passing …………………Roll………………………………. No…………………………Name of Board……………………………………………
Marks obtained in Madhyamik/Equivalent Examination
Bengali (FL) |
English(SL) |
Mathematics |
Physical Science |
Life Science |
History |
Geography |
Grand Total |
% of Markes |
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15) Combination of Subject Chosen:-
i) Language Group (Compulsory (1) BENGALI (Group-A) (2) ENGLISH (Group-B)
II) Elective Subject :- (Put a tick mark ) (1) HISTORY (2) PHILOSOPHY (3) GEOGRAPHY
(4) EDUCATION (5) POLITICAL SCIENCE
III) Optional Subect : - (6) SANSKRIT
16) BANK DETAILS:-
(a)Name of Bank ………………………………………………………………. (b) Branch……………………………………………………………..
(c) IFSC Code…………………………………………………………………(d)A/C No-……………………………………………………………………
17) Aadhar No:-…………………………………………………………………………………………………………………………………………………….
DECLARATION
I do hereby declare that the information noted above is correct and the rules and regulations of the Institution will be obeyed strictly by me
…………………………………….… …………………………………….
Signature of Guardian Signature of Student
Enclosures:-