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