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CHAPUI SAWRA VIDYASAGAR HIGH SCHOOL

Estd: 2010-2011

P.O: KALIPAHARI, Dist: PASCHIM BARDHAMAN, PIN: 713339           

ADMISSION FORM                                    

Note: Please use capital letters only

 

A.  INFORMATION OF THE STUDENT

NAME: ………………………………………………………………………………………………………….....................

GENDER:   MALE/ FEMALE                                                    DATE OF BIRTH: ....................................................

RELIGION: …………………………………………...........     CASTE:   SC/ ST/ OBC/ GEN    (Tick the Right one)

AADHAAR NO: ……………………………………………        PHONE NO.: ................................................................

LAST INSTITUTION ATTENDED:……………………………………………………………………………………..

CLASS TO WHICH ADMISSION IS DESIRED: …………………………………………………………………........

PRESENT ADDRESS:……………………………………………………………………………………………………...

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PERMANENT ADDRESS: ……………………………………………………………........................................................

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B. FAMILY INFORMATION

i) FATHER’S NAME:...............................................................................................................................................................

OCCUPATION: …………………………………………………………………………………………................................

ii) MOTHER’S NAME:…………………………………………………………………………………………………….....

OCCUPATION: …………………………………………………………………………………………................................

iii) GUARDIAN’S NAME:………………………………………………………………………...........................................

RELATION WITH THE STUDENT:……………………                        OCCUPATION: ………………………...............

 

C. ENCLOSURES :( All documents are mandatory at the time of admission)

I) BIRTH CERTIFICATE OR SIMILAR DOCUMENT IN SUPPORT OF DATE OF BIRTH

II)TRANSFER CERTIFICATE-ORIGINAL COPY

III)AADHAAR CARD COPY OF STUDENT

IV)CASTE CERTIFICATE

V)RECRENT PASSPORT SIZE PHOTO OF THE STUDENT (4 COPIES)

 

DECLARATION:

I declare that my son/daughter will come regularly in school and will abide by the rules and regulations of the school. Otherwise, I shall abide by the decision of the management.

 

Signature of Parent/Guardian

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OFFICE USE ONLY

NAME OF THE STUDENT: ………………………………………………………………………………………………....

 

 

Signature of the Admission co-ordinator                           Signature of the Head of the Institution

Date                                                                                                Date

Admission no.   & date:................................................................