Gurukul Vidya Mandir Secondary School

Application for Admission

CANDIDATE'S DETAILS

FIRST NAME

MIDDLE NAME

LAST NAME

DATE OF BIRTH : DD/MM/YYYY

AADHAAR NO. :

CATEGORY : SC / ST/ OBC / GEN

RELIGION :

HINDU MUSLIM

BLOOD GROUP

GENDER

MALE FEMALE

MOTHER TONGUE

BENG HINDI

SPECIAL INTEREST

PREVIOUS SCHOOL

CLASS	YEAR	ENG %	MATH %	SCIENCE %	HCG %		AVG %
IX
X
ICSE

ADDRESS

MOBILE

FATHER'S NAME

QUALIFICATION

OCCUPATION

INCOME

OFFICE ADDRESS

CONTACT NO.

AADHAAR NO

MOTHER'S NAME

QUALIFICATION

OCCUPATION

INCOME

OFFICE ADDRESS

CONTACT NO.

AADHAAR NO

NAME OF BROTHER / SISTER READING IN THIS SCHOOL (IF ANY)

DOCUMENTS TO BE ATTACHED : 1. BIRTH CERTIFICATE 2. MARKS SHEET OF CLASS IX & X 3. CASTE CERTIFICATE 4. BLLOD GROUP 5. AADHAAR CARD 6. ADMIT CARD 7. MARKS CERTIFICATE 8. MIGRATION CERTIFICATE (If other board)

FATHER'S SIGNATURE

MOTHER'S SIGNATURE

STUDENT'S SIGNATURE

FOR OFFICE USE

Date of Admission

Recomended

ADMITED TO CLASS XI SEC

SCIENCE COMMERCE

SECTION

ROLL NO

STUDENT NAME

INTERVIEW / ADMISSION TEST ON

TIME

Date

SIGNATURE