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SANT SARAN HARIJAN F P SCHOOL ADMISSION NO.........................
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GOUR MONDAL ROAD, BUDHA, ASANSOL.
HIRAPUR CIRCLE, DPSC PASCHIM BURDWAN
ESTD: 1973
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. MOBILE NO:…………………………………………………………….10. BLOOD GROUP:…………….(submit blood group report)
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..)
Approved and registered by Head Teacher
Sant Saran Harijan f p schoo