APPLICATION FOR ADMISSION IN CLASS PP TO IX

Applicant Details:

Admitted to Classes : Paste attested photo

Name of the Applicant :

Date of Birth :

Physically Challenged : ( YES / NO ) Disability :

Community : ( GENERAL / SC / ST / OBC / MINORITY )

Religion :

BPL Card : ( YES / NO ) BPL Card Number :

Academic Details: (For Class I to IX)

Previous Class :

Year of Passing, Previous Class :

Name of Previous School :

Students Bank Details: (For Class V to IX)

Bank Name :

A/c. Number :

IFSC :

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Correspondence Details:

Address :

City :

District :

Pin Code :

Police Station :

Post Office :

Locality :

State :

Country :

Contact Number :

Other Details:

Nationality :

Fathers Name :

Mothers Name :

Guardians Name :

Relationship :

Falimy Annual Income :

Self Attested true copy of the Mark Sheet, Admit Card ,SC/ST/OBC/Minority Certificated should be attached.

DECLARATION
I do hereby solemnly declare that in case I am admitted, I will abide by all rules and regulations of the institution by regular
attandance, discipline, satisfactory conduct, progress of study, and I further declare that the particulars stated above are
true.
Date : ____________________

Signature of the Candidate Signature of the Guardian