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                                                                      BANDARBONI JR. HIGH  SCHOOL

                                                         VILL.-BANDARBONI, P.O.-DAHIJURI, DIST.- JHARGRAM

                                                                                           

 

  

   

                  

 

                   PASTE

         STUDENT’S PHOTO

                       &

      SIGN IN THE      BELOW          

BOX  

 

SESSION:20_____              ADMISSION FORM                                          

 

FORM NO.-                      (FILL IN BLOCK LETTERS)         

 

 

 

 

 

STUDENT’S ID NO.-  ……………………………………………………………..BLOOD Gr.………

 

 

 

STUDENT’S NAME  …………………………………………………………………………………

 

          

 

CASTE: (TICK THE APPROPRIATE)     GENERAL    /   OBC-A  /   OBC-B   /      SC     /      ST             

 

 

SEX: (TICK THE APPROPRIATE)    MALE  /  FEMALE   /   OTHERS     SUBCASTE……………………………………………

 

 

FATHER’S NAME ………………………………………………………………………….OCCUPATION…………………………………………..

 

 

MOTHER’S NAME …………………………………………………………………….. …. MOTHER TONGUE…………………………………………….

 

 

GUARDIAN’S NAME……………………………………………………………..            RELATION WITH STUDENT………………………………………………….

 

 

CONTACT /  MOBILE NO. ………………………………………………………    AADHAAR  NO. ……………………………………………………………….

 

 

VILL./ TOWN-…………………………………………………………   P.O.- ……………………………………………………BLOCK-………………………………………

 

 

GRAM   PANCHAYAT-………………………………………………… P.S.-……………………………………………………..DIST.- …………………………………………

 

 

PIN ………………………………………  STATE …………………………………………………………   NATIONALITY ………………………………………………

 

DATE OF BIRTH:-     

 

 

 

 

 

 

 

 

            

 

 

RELIGION:- (TICK THE APPROPRIATE)   HINDU / MUSLIM  / OTHER (PLEASE SPECIFY)……………………………

 

 

ECONOMICAL SATAUS:- (TICK THE APPROPRIATE)  APL   /     BPL   /    ANTYODOY  /   ARNAPURNA      BPL CARD NO.-……………………………………….

 

 

PREVIOUS CLASS…………  WISH TO ADMIT IN CLASS …………PREVIOUS SCHOOL NAME ……………………………………………………………………..

 

 

ADDRESS OF PREVIOUS SCHOOL ………………………………………………………………………………………………………………………………………………..

 

 

BANK NAME ………………………………………… BRANCH ………………………………………………BRANCH CODE………………………….

 

 

IFSC CODE ……………………………………………........  A/C HOLDER NAME (AS PER PASSBOOK) ………………………………………………

 

 

ACCOUNT NO.  ……………………………………………………………

 

 

 

                  ……………………………………………………………                                         ………………………………………………………..

                                  SIGNATURE OF STUDENT                                                                                         GUARDIAN’S SIGNATURE

 

                                                 

                                                              (UNDERLINED COLUMNS ARE MUST BE  PROPERLY FILLED UP WITH CARE )

 

 

 

 

                                                                           (To be filled up by the office during the time of admission )

 

SESSION:  20 ……..                                                                 DATE OF ADMISSION ………………………….

 

 

 

FORM  NO.  ………                                                                                             CLASS  ………………….  

 

 

 

STUDENT NAME …………………………………………………………..        GUARDIAN’ NAME ………………………………………………

 

 

 

 

 

                                                                                         OFFICE SEAL WITH SIGN