Form Download
Admission Forms are to be collected from the School Office. A sample is Shown below:
PRAMODNAGAR HIGH SCHOOL
P.O.- PRAMODNAGAR, DIST- ALIPURDUAR
ESTD-1984
APPLICATION FORM FOR ADMISSION
SESSION : 2020
To
The Headmaster
Pramodnagar High School
Sir,
I beg to apply for admission into Class…………………………………… of your School. I promise to abide by all the rules and regulations of the School as well as those of West Bengal Board of Secondary Education.
Yours obediently,
Date : ………………… ……………………………………………..
(Full Signature of Pupil)
Name of the Pupil (in block letters): ……………………………………………………………………………….
Father’s Name: ……………………………………………………………………………………………………………..
Occupation: ……………………………………………… ……Mobile No. : ………………………………………..
Mother’s Name: ……………………………………………………………………………………………………………
Occupation: ……………………………………………………Mobile No. : ………………………………………….
Guardian’s Name : …………………………………………………………………………………………………………..
Occupation : ……………………………………………… ….Mobile No. : …………………………………………
Relationship with the Pupil : ………………………………………………………………………………………….
Guardian’s Family Income ( Annual) : ………………………………………………………………………….
PRESENT ADDRESS :
VILL: ……………………………………………………….P.O. : ……………………………………………………….
DIST : ………………………………………………………... PIN: ………………………………………………………..
PANCHAYAT: ………………………………………………. P.S. : ………………………………………………………
BLOCK / MUNICIPALITY : ……………………………………………………………………………………………….
PERMANENT ADDRESS :
VILL: ……………………………………………………….P.O. : ……………………………………………………….
DIST : ………………………………………………………... PIN: ………………………………………………………..
PANCHAYAT: ……………………………………………. P.S. : ………………………………………………………..
BLOCK / MUNICIPALITY : ……………………………………………………………………………………………….
DATE OF BIRTH : ………………………………………………………………………………………………………….
STUDENT’S AADHAAR NO. : …………………………………………………………………………………….
SOCIAL CATEGORY (GENERAL/SC/ST/OBC-A/OBC-B): ……………………………………………………
If Yes State Sub-caste/ Community: ………………………………………………………………………………..
Gender ( Male/ Female) : ………………………………………………………………………………………….
Blood Group : …………………………………………………………………………………..
( Page – 2 )
Religion : ……………………………………… Nationality : ……………………………………………. Mother Tongue: …………………………………………………………………………………………… …..
Whether Belongs ToBPL : ………………………………………………………………………………..
Whether Belongs To MINORITY :………………………………………………………………………..
Is the Children With Special Need ( Yes/ No ) : …………………………………………………….
Type Of Disability ( If Any): …………………………………………………………………………………
(Visual blindness, Low-Vision, Hearing impaired, Speech, Locomotor disability, Mental retardation,Learning disability, Cerebral palsy, Autism, Multiple disability, Dwarfism, Thalassemia, Hemophilia, Parkinsons disease).
Student’s Bank Account No. : …………………………………………………………………………..
(It may be Joint Account with Parent)
IFSC Code Of The Bank Branch: ………………………………………………………………………..
Bank Name: ………………………………………………Branch : …………………………………….
Email Address: ………………………………………………………………………………………………..
(of student/ parent/ Guardian)
GUARDIAN’S DECLARATION
I solemnly declare that particulars given above are correct and true to the best of my knowledge. Also I take to hold responsibility for any misconduct and indiscipline at the School from the part of my ward. Should the Headmaster and/or the School authority be dissatisfied with my ward’s School performance or conduct, I shall be liable to comply with the decision taken by the School authority.
……………………………………….
Date : …………………………… Signature of Guardian
|
FOR OFFICE USE ONLY |
Admitted in Class …………………… Sec …………………. Roll No. …………………………
……………………………….. ……………………………….
For Academic Council Headmaster
( Xerox copies of the Following Documents are to be submitted with this application form and the original of the same are to be produced at the time of admission)
- Birth Certificate, 2) School Transfer Certificate in Original 3) Mark Sheet 4) Disability Certificate 5) First Page of Bank Pass Book 6) Caste Certificate 7) BPL card 8) Aadhaar Card.