Sampradaya Form https://kanchiintegratedpatasalas.com/admin/SampradayaOnlineFormAdmin.

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SAMPRADAYA PATASALA
ACADEMIC YEAR 2024-2025

System of Education

SAMPRADAYA PATASALA

Center Applying for: * Class Applying For: * Course Applying For: *

Student Information

Have you applied previously? If Yes, Specify when * Yes No

Aadhar Number : * Student Name (as in Aadhar Card) : * Student Name (as in Birth Certificate) :

Birth Date : * Shaka : Blood Group :

Birth Month : Nakshatram : Zodiac Sign :

Mother tongue : Native Place : Brothers : Sisters :

Previous School Student Id : Caste :

Parents / Guardian Information

Father / Guardian Name (As in Aadhar): Father / Guardian Aadhar #: Father / Guardian Occupation:

Father / Guardian Gothram: * Father / Guardian Mobile Number: Father / Guardian Whatsapp No:

Father / Guardian Email : Father / Guardian Name (as in Bank Father / Guardian Account Number :
Account) :

Bank Name : Father / Guardian IFSC :

Mother / Guardian Name (As in Aadhar): Mother / Guardian Aadhar #: Mother / Guardian Occupation:

Mother / Guardian Gothram (Maternal): * Mother / Guardian Mobile Number: Mother / Guardian Whatsapp No:

Mother / Guardian Email : Mother / Guardian Name (as in Bank Mother / Guardian Account Number :
Account) :

Bank Name : Mother / Guardian IFSC :

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Sampradaya Form https://kanchiintegratedpatasalas.com/admin/SampradayaOnlineFormAdmin.php

SAMPRADAYA PATASALA
ACADEMIC YEAR 2024-2025

Address Information

Present Address (as per Aadhar)

Address Line 1: Address Line 2: City:

State: Pin Code:

Permanent Address
Address Line 1: Address Line 2: City:

State: Pin Code:

Other Information

How did you came to know about the patasala? Any Sibling studying in patasala / If Yes, Mention Name, Class,
Branch and Patasala

Any further information you wish to furnish

Rules & Regulations

I hereby declare that all the entries are correct to the best of my knowledge and belief. As a Parent/Guardian, I shall abide by
the rules & regulations of the School. My ward will follow the rules of discipline of the school. I also agree to continue in
patasala till completion of graduation.

I Agree to the * Rules and Regulations Parent Consent * Student Consent *

Parents Signature Students Signature

For Office Use Only

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