
CO-EDUCATIONAL / HIGHER SECONDARY SCHOOL
For the Session 20............ - 20.................
1. Name of the Applicant....................................................................................
2.a) Father's Name.................................................................................................
b) Address : Vill.......................................................P.O.....................................
Dist....................................Pin...............................Ph. No..............................
c) Occupation ....................................................................................................
3. a) Guardian's Name (If father is dead)............................................................
b) Address........................................................................................................
c) Occupation...................................................................................................
d) Relationship with the Student........................................................................
4. Adhar Card No................................................... Mobile No.............................
5. The School attended last.................................................................................
6.a) Date of birth..................................................................................................
b) Caste .................................c) Sex........................d) Religion..........................
7. a) MARKS OBTAINED PREVIOUS CLASS ......................................................
(AN ATTESTED COPY OF THE MARKSHEET MUST BE ENCLOSED)
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BENGALI |
ENGLISH |
MATHEMATICS |
PHYSICAL SCIENCE |
LIFE SCIENCE |
HISTORY |
GEOGRAPHY |
ADD |
GRAND TOTAL |
PERCENTAGE |
|
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8. SUBJECT TO STUDY IN THIS SCHOOL:
i) languages (Compulsory) : 1. Bengali, 2. English
ii) Elective Subjects : 1........................ , 2................................ , 3....................... , 4(optional subject).........................
9. Declaration :
I do hereby agree by all the rules and regulations of this institution till my studentship ends.
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Counter Signature of father/guardian Full signature of the student