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  • Admission Form

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    Ter Tshering Lepcha
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    1) The document is an admission form for Utpal Academy, a higher secondary school in Paro, Bhutan. 2) It collects information such as the student's name, date of birth, citizenship details, medical history, preferred optional subjects, and contact details of parents and local guardian. 3) The form must be signed by both the student and parent/guardian and supporting documents like academic records and ID copies must be submitted along with the form.

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    Please click here to download admission form of Utpal Academy 2018

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    1) The document is an admission form for Utpal Academy, a higher secondary school in Paro, Bhutan. 2) It collects information such as the student's name, date of birth, citizenship details, medical history, preferred optional subjects, and contact details of parents and local guardian. 3) The form must be signed by both the student and parent/guardian and supporting documents like academic records and ID copies must be submitted along with the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views2 pages

    Admission Form

    Uploaded by

    Ter Tshering Lepcha
    1) The document is an admission form for Utpal Academy, a higher secondary school in Paro, Bhutan. 2) It collects information such as the student's name, date of birth, citizenship details, medical history, preferred optional subjects, and contact details of parents and local guardian. 3) The form must be signed by both the student and parent/guardian and supporting documents like academic records and ID copies must be submitted along with the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    UTPAL ACADEMY

    (A HIGHER SECONDARY SCHOOL)


    SATSAM, PARO BHUTAN

    ADMISSION FORM- 2018


    (To be filled in by student)

    Applying for Class........................................ Please check one: a. Boarder Day


    b. Repeater Regular

    Optional Subjects: Maths Economics Rigzhung Computer

    Name....................................................................................................................................................................
    Sex..............................................Date of Birth....................................................(As per ID and Census record)
    Nationality.................................Blood Group......................................................................................................
    Citizenship Identity Card No:...............................................................................................................................
    Student Code No:..................................................................................................................................................
    Medical History (Specify if any)..........................................................................................................................
    ..............................................................................................................................................................................
    Living with Single/Both/Guardian.......................................................................................................................
    Previous School/Year...........................................................................................................................................
    Reason for leaving previous school......................................................................................................................
    ..............................................................................................................................................................................
    Permanent Home Address:
    House No:.....................................................Thram No:..........................................................................
    Village...........................................................Gewog................................................................................
    Dzongkhag................................................................................................................................................

    (Signature of the student)


    (To be filled in by parents/guardian at the time of admission)

    Father’s Name:....................................................................................................................................................

    Identity Card No:..................................................................................................................................................

    House No......................................................................Thram No........................................................................

    Occupation:...................................................................Telephone No:................................................................

    E-mail ID:.............................................................................................................................................................

    Mother’s Name....................................................................................................................................................

    Identity Card No:..................................................................................................................................................

    House No........................................................................Thram No:.....................................................................

    Occupation:.....................................................................Telephone No:..............................................................

    E-mail ID:.............................................................................................................................................................

    Local Guardian (Paro):

    Name:...................................................................................................................................................................

    Identity Card No:..................................................................................................................................................

    Relationship with Applicant.......................................Contact No:.......................................................................

    Occupation............................................................................................................................................................

    Present Address:...................................................................................................................................................

    (Signature of Parent/Guardian)

    Important:
    Produce copies of progress report, transfer certificate, character certificate, recent passport size photo
    (1 no.) and ID Card copies of both student and parents.

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