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ADARSH VIDYA MANDIR F.P SCHOOL Recognised by the Govt of W.B. UDISE Code :-19261002714
R. K. DANGAL,P.O.:DAKSHIN DHADKA, ASANSOL 713302, DIST. -PASCHIM BARDHAMAN (W.B.)
Recog.No &Date :-4331/1/(1)SC/P & Dt :-16.08.1974
ADMISSION FORM
1. Student's Name. ................... PHOTO
Nationality. ............ Religion. ............
Gender. ............ Blood Group ........ Cast : .....
Aadhaar No. ............. Admission No. ......... Year ....
Date of Birth: ........... STUDENT ID NO . ............
2. Father's Name :............
Occupation :........Mob No.:....................Addres:........
3 Mother's Name : ....................... occupation:..................... Mob.No.:.....................Address :...........
4. Guardian's Name : ........... Occupation : ......... Mob No.: ...... Address : ........................
Relation with the student :...............
5. With whom the student lives:............
6. Age on the date of application ........
(To be recorded in years and completed months calculated according to the English Calender Months )
7. Transfer certificate (in case of student studied earlier )........................
8. I do hereby declare that the above information given by me, are true.
Class Admitted........... Date :...............
Signature of the student Signature of the Gaurdian
Signature of the Parents Signature of the HOI with Seal
.........................................................................................
For office use only
ADARSH VIDYA MANDIR F.P SCHOOL
R.K. DANGAL ASANSOL, P.O. : DAKSHIN DHADKA, ASANSOL -713302 (W.B.)
Student's Name :.....................................
Father's Name :..........................
Date of Birth :........... Class to be admitted :................
Date:.................... Signature of the HOI with Seal