APPLICATION FORM FOR ADMISSION

*** Please ensure that the Name and Date of Birth of the student on the Birth Certificate and the School Certificate are identical.

ADMISSION DESIRED

Admission Year*

Class to be applied*

Admission Category*

Stream*

Exam Center

Banglar Shiksha ID

Com1

Com2

Sub1

Sub2

Sub3

Sub4

BASIC INFORMATION

Student's Name*

Gender*

Date of Birth*

Social Catagory

Religion

Aadhaar No

Mobile No*

Contact(Whatsapp)

PREVIOUS INSTITUTION DETAILS

Previous Year

Previous School

Previous Class Passed

Exam Name

DETAILS OF PREVIOUS EXAMINATION MARKS

Full Marks

Total Marks Obtained

Total Percent

Average Grade

GUARDIAN INFORMATION

Father's Name*

Father's Ocupation

Mother's Name*

Mother's Ocupation

Father's Contact

Mother's Contact

Father's Qualification

Mother's Qualification

Guardian's Name

Guardian's Contact

Relationship With Guardian*

Annual Family Income

CONTACT INFORMATION

Village/Locality*

Block/Munc/Corp*

Post Office*

Police Station*

District*

State*

Pin Code*

Bank Details

Ifsc Code

Bank Name

Branch Name

Account Number

OTHER INFORMATION

BPL Status

BPL No

Disability

Disability type

APPLICANT'S PHOTO

Applicant's Image (50kb)

DECLARATION

Application Inspired By

I have read and accepted all the Terms and Conditions.

Back