
KARNANI FREE PRIMARY SCHOOL
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Affix passport size photo |
NEAR UPPER CHELIDANGA POST OFFICE, HIRAPUR CIRCLE, DPSC PASCHIM BURDWAN
ESTD: 1927
ADMISSION FORM FOR THE YEAR 20….
1. NAME OF STUDENT:………………………………………………………………………………………..
2. D.O.B:………………………..(ENCLOSED ZEROX COPY OF AGE PROOF) ACTUAL AGE AS ON 01.01.20…….(…………………………………………)for office use only.
3. GENDER:………………….4. CATEGORY:…………………5. RELIGION:…………………….
6. MOTHER TONGUE:…………………………..7. MEDIUM:………………………..8. NATIONALITY:…………………….
9. NO:…………………………………………………………….10. BLOOD GROUP:…………….(submit blood group report if any)
11. IDENTIFICATION MARK (IF ANY):……………………………………………………………………………………..
12. CLASS IN WHICH HE/SHE WILL BE ADMITTED:……………….13. SECTION:………………..
14.NAME OF FATHER:…………………………………………………15. NAME OF MOTHER:………………………………….
16.NAME OF GUARDIAN:……………………………………………
17.ADDRESS:…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………
PIN NO:……………………………………. CONTACT NO:………………………………………………….
18. BPL STATUS:……………………………….IF YES MENTION BPL NO:…………………………………………….
19.BANK DETAILS (IF ANY): BANK A/C NO:…………………………………………BRANCH CODE:………………….
NAME OF THE BANK:……………………………………………………IFSC CODE:……………………………………..
Note:-enclose two copy passport size photos ,age proof documents(birth certificate/aadhar card etc..)