Form Download

ADMISSION FORM

                       Student Code: -_______________          Session 20……… to 20…………

 

                        Name of the Student :________________________________________________________________

                        Date of Birth :

                        Age as on :………………….. : - _______ Years _______Month_________ Days 

                        Previous Class :- __________  School Name :- _____________________________________________

                        TC No. :- ……………………………………………………………………………………………………….……...

                        In which class does He/She want to admit : _________________________________________________

                        Social Category :- ____________________________    Religion :- _______________________________

                        Mother Tongue :- _____________________________   Nationality :- _____________________________

                        Blood Group :- _______________________________   Identification Mark :- _______________________

                        Father’s Name :- ___________________________        Occupation :- _____________________________

                        Mother’s Name :- ___________________________       Occupation :- _____________________________

                        Guardian’s Name :- ___________________________    Occupation :- _____________________________

                        Address:-             Vill :- ……………………………………………  P.O :- ………………………………………………

                                                     Dist :- ……………………….………….             Pin Code :- ……...........................………………

                        Mobile No.:- ……………………………………………..  Whatsapp No. :- ………………………………………………

                        BPL Status :- __________________   BPL  No. :- ___________________________________

                        CWSN ( Yes / No ) :- ______________ If yes , type of Disability :- _____________________

                                                                                       Bank Details

                         A/C No. :- __________________________ IFSC Code :- _________________________

                        Name of the Bank :- _______________________________________________________

                        Name of the Branch :- ______________________________________________________

                            FOR OFFICE USE                                                      The above data given by me is absolutely correct & true to the

                                                                                                                 Best of my knowledge  . I also assure that my ward is not

           Sri/Smt :- ______________________________                           admitted in any other school . 

           Has been admitted at Pandaveswar F P School in

            Class :- ____________________________

           According to age & Govt rule .                                                  

           On this Date :- _____/______/___________

                                                                                                                       Signature of the Parent/ Guardian                

            Date :-

             Signature of the Head of the Institution