A NAME OF TRUST AND EXCELENT RESULT

A-ONE ACADEMY
. Contact No :- 7008050596, 9583888924, 8249949661 .
Date : .…./…. /20..…. ( Student’s Profile )

Form Number : …………………. Afix passport

Aadhar No: ……………………………. …..….. Blood Group : ………. Size Photo

Name of the Pupil : Shri/ Kumari ..........................................................................................

(Write With Block Latter ) ……………………………………………………………………………….

Admission Sought For Class : …..…………………….. , Academic Year : ……………………………

School's Name : ………………………………………………………………………………………………

DOB : ..…./….…/……..…. Gender: Male/ Female , Nationality : …………………

Cast: GEN / OBC / SEBC / SC / ST, Religion : ……………………..……………..

Father's name : ………………………………………………………………………………………………

Mother's name : ……………………………………………………………………………...........................

Address : ……………………………………………………………………………………………………..

………………………………….………………………Dist : …………………………………,..

State : ………………………………..……, Pin Code : …………..………..…………………..

Mob : ………………………………………., Em@il : …………………………………………………. ..

Previous Academic Record:

S.L Name of the institute Class Year of Percentage/

study Grade
1
2

…………………………………………… ………………………….………………….
(Parent’s Signature ) ( Student’s Signature )

FOR OFFICIAL USE ONLY

Admission No : ………………………. Regd. No : …………………………….

Admitted to class………………

Date : .…./…. /20..… Signature of the Head