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KRISHNANAGAR HIGH SCHOOL (H.S.)

(Vocational Training Centre, VTC Code - 1772)

Index No.  C2-097,  Institution Code (H.S.) : 102546

P.O-Sagar Krishnanagar, P.S- Sagar, Dist. - South 24 Parganas

Photo

Email : - krishnanagarhighschool1957@gmail.com

                       Mobile No-  8670247427 (Office)

Application form for Admission into Class XI (2020-21)

1. Name of Applicant : ……………………………………………………………    Aadhar No :

2. a)Father's Name : ……………………………………………………………….    Aadhar No :

   b)Mother's Name : ………………………………………………………………    Aadhar No :

   c)Guardian's Name : ……………………………………………………………….Aadhar No :

3. Address : Vill:…………………………………………………..P.O. : ………………………………………………P.S.: ………………………………

Locality(পাড়া):…………………………………………………….Dist. : ……………………………………. Pin. : ……………..……………

4. Mobile No.                              (A)

(B)

5. Date of Birth(As per M.P.Admit):

 6. Male

Female

7. Category  :           i) General 

, ii) S.C.

,  iii) S.T.

,         iv) OBC-A

,  v) OBC-B

8. Religion  :             i) Hindu

  ii) Muslim

   iii)        Christian

  iv) Others

9. CWSN (P.H.) :     i) Ortho

    ii) Visual

 iii)  Audio

  iv) Verbal

(Copy of certificate to be required)

10. Blood Group : …………………….  11. Critical disease ,  (if any) : …………………………………………………………………………..

12. Whether belongs to BPL family :                       Yes

  No

,  If Yes, BPL No. : …………………………………………..

13. Special Proficiency :                        i) Recitation

  ii) Music

  iii) Dance

  iv) Drama

     v) Drawing & painting

 vi) Elocution

  vii) Debate

  x) Gardening

 viii) Sports and Games

 ix) Gymnastic

14. Applicant Bank A/C No: …………………………………………………….. Name Of Bank : ……………………………………………….

Branch : ……………………………………………………….  IFSC Code : ……………………………………………

15. Name of the school last attended :…………………………………………………………………………………………………………………

16.  M.P. (S.E.)  Passed in 2020

Attested Xerox copies of Admit Card and Mark Sheet required :

Sub.Studied

Beng.

Eng.

Math.

Phy.Sc.

Life Sc.

Hist.

Geo.

Addl.

Total                      (without Addl.)

%

Marks Obtained

17

* Whether  the previously admitted in class XI - i)Yes  

      ii)No

                                      If yes, then original TC from the previous school with registration no of the  Council must

be produced at the time of admission.

Regd. No-

18. Subjects opted for H.S. course in this institution :

A

COMPULSORY LANGUAGE SUBJECTS

           a)  BENGALI   (A)

b)    ENGLISH      (B)

B

COMPULSORY ELECTIVE SUBJECTS (any three)

  c.  POL.SCIENCE

   d)   EDUCATION