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SWARGARANI SCHOOL & PU COLLEGE BEML. Layout, Rajarajeshwarinagar, Bengaluru - 560 099 ‘Tel: 2A1 8308, 2AA1 BAIS, 2ABI 6115 E-mail swargarni_school@yahon com ADMISSION FORM a ; Affix Student ceed Affix Family Photograph Photograph with Gum or Paste only with Gum Do not staple or Paste only Do not staple 1. Name of Puplll (In BLOCK LETTERS): 2. Sex: (Male/Female) Nationality Mother Tongue: 3. Religion: Caste: (SC/STIOBC/General) 4. Date of Birth bo| MM vy {In Words. ) 5. School Last Attended: ©. Standard in which admission is sought... 7. Residential Address: Telephone No. 8. Father's Name & Occupation: 9. Mother's Name & Occupation: Office Address with Telephone No. Office Address with Telephone No. Father's Education: Below SSLC / SSLC / PUC/ Mother's Education: Below SSLC / SSLC / PUC / Graduate | Post Graduate / Mphil/ PHD Graduate / Post Graduate / Mphil / PHD Details: Details: 10. Transfer Certificate No. Date:... 41, Sibling’s i Name: Class: Admission No. fi, Name:.. for C1A8Sissrrrnnnneseeee Admission No... 12. Comttied: a. That the above particulars are correct and | agree to abide the rules and regulations of this institution and accept the charges (if any) there in at later stage. . The date of birth as entered above is correct according to the evidence available with me. NB. 1 ter the admission formalities are over, any fees paid in respect of him/her will not be refunded either partially or fully under any circumstances. 2. Text - Books, Note Books and Uniform are issued by the school. Date: Signature of Mother Signature of Father For office use only ‘Admission granted 10! vs. se Clase: . Division Admission No. Date of Admission Signature of Principal

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