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MULTI PEARY SREEMANTA INSTITUION (H.S.)

CO-EDUCATIONAL / HIGHER SECONDARY SCHOOL

 

Application Form for Admission to Class - ............

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)

BENGALI

ENGLISH

MATHEMATICS

PHYSICAL

SCIENCE

LIFE

SCIENCE

HISTORY

GEOGRAPHY

ADD

GRAND TOTAL

PERCENTAGE

 

 

                 

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