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! S Ili: (SC Isr

This document appears to be a student admission form for Army Public School Binnaguri. [1] It requests basic information about the student such as name, date of birth, gender, blood group, religion, caste, parents' names and occupations. [2] It also asks for residential and income details, previous school and class details, subject combinations for classes 11-12. [3] The parent is required to declare that the provided details are correct and agree to follow school rules if admission is granted.

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mohit mondal
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82 views2 pages

! S Ili: (SC Isr

This document appears to be a student admission form for Army Public School Binnaguri. [1] It requests basic information about the student such as name, date of birth, gender, blood group, religion, caste, parents' names and occupations. [2] It also asks for residential and income details, previous school and class details, subject combinations for classes 11-12. [3] The parent is required to declare that the provided details are correct and agree to follow school rules if admission is granted.

Uploaded by

mohit mondal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Book No : Form No :

fr*? Online Reoistration NO.

)@)1 ARMY PUB LI c s c HOOL BINNAGUR ll *- **.,


/ \6>/ \
t-
fB||'naGURr'l
ftiilI @ ! .,.*:,
{rcOBEFFI LLE Di N BLOCK LE TTERS ] |
L
l Full Name of the Student
!Male IFemale_l(T]ck)
2. Date of B,rlh (in words) ..BtooaCroupf
(intigures)

3 sociarcaresory lceru [sc Isr [oac


4.
5
6
/. Name of the l\lolher -.-..-................
8 Fathe/s/[rothe/sOccupatron...... ......

(c) Local Resrdenlial .

11 Father'slncome(fromallsources)permonih
12. (a) Class last siudied
(b) School in which last studied
(c) lvledium of lnstruction
(d) Was the school recognised ornot?
(e) Examinalion body towhich the schoolwas affiljated

Full signature of Father Fu I signature of lVother

Book No : ADMISSION SLIP IOFFICE COPY)

Fathe/s Name Mother's Name


of Adm No Cat
Contact No Date of Birfth Admitted in Class
Section PrevioLs school altendance / _days

Oate : Signature of Admisslon Clerk


10. Resull ofthe last exami.ation Pass€d/Failed
11 Class lo which lhe admission is soughl.........
12 Subject combinatio. ofClassXl&Xll(5 compulsory + l Additional)

COMMERCE SCIENCE HUMANITIES

English English English


Geography
Business Studies Chemlstry History
Economics / POL Sc / Painting Compul€r Sc. / Bio. / Economics Economics / POL Sc/ Painllng
lPlMaths / Hindi/ Painting lP/Malhs / Hindi lP/ Painting / Hindi
Physical Education Physical Educatjon

lJ l\,4otrertongue of the sludent... .. ................


14 Detailsof transfercertificateatlached, if any
'15. Hobbies:Art. Music. Science Club etc..........
t Note : In Cass ofmid-session admission, roport cards with grades,/marks l55u€d by th€ previous
schoolmust be submitled withh 15 days ofadmlssion. Alale submission otlhe same will nol be
co nsidered by lhe school a uthorilies.

DECLAMTION BY THE PARENT


I, hereby declare thal the date of birlh of my son/daughter/ward is ......-................. and other particulars
are correcl and that lwould notdemand any changq inthem atanysubsequentdate.

I also agree io allow my son/daughtea/ward lo abido by all school rules and to p€rlicipate in all school
! activilies (if selected ).

Signature of ParenUGuardian

ORDERS OF THE PRINCIPAL

Dated i Sionature of Admission clerk

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