SIKSHA SANGH H.S. SCHOOL

GING, LEBONG, DARJELEING

SCHOOL KINDEX NO: MI - 023

INSTITUTION CODE: 07121

ADMISSION  FROM NO: ________ DATE OF ISSUE:___________

1. Name of the Students: _______________________________

2. Father's Name:______________________________________

3. Mother's Name:_____________________________________

4. Date of Birth:______________________________________

5. Occupation of Father:________________________________

6. Guardian's Occupation:________________________________

7. Permanent Address:___________________________________

8. Present Address:____________________________________

9. Previous School:____________________________________

10. Admission sought for Class:__________________________

11. Phone No:______________________________________