Admission Form for session:- 2022-2023
Form Number - SREERAM/2022-23/...................
SREERAM ACADEMY
CBSE Affiliated Sr. Sec. School, Estd. – 2007
Affiliation No.: 230125
Student Code :
Type of Enrollment:
Day Scholar
Date of Application :
30 November 2023 at 5:46:22 am
Class in which admission is sought :
Class V
Student's Name :
BHARGAV THOUSEN
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
30/5/14
Caste/Community :
Religion :
ST
Hinduism
Communication Address
House No :
City :
114
KHERONI WEST KARBI ANGLONG
Locality :
State :
ASSAM
HAZAGAPHER
Pincode :
782448
School last attend :
Percentage/Overall Grade :
DELHI PUBLIC SCHOOL, DULIAJAN
93.67
Class last studied :
Weakness/Disabilities :
IV
Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :
JUBARAJ THOUSEN
9365760209
GOVT. SERVICE
Mother's Name :
Mother's Phone No:
Mother's Profession:
BOBBY DAUDUNG LANGTHASA
9365760209
GOVT. SERVICE
Parent ID Details -
Voter Card
Voter Card
CBD6244037
JRF2140047
Examination Passed
University/Board
Year of passing
Total Marks
Subject taken
Admission Categtory:
For Secondary (Nursery to Class XI) Student
Subject 1 :
HINDI
Subject 2 :
EVS
Subject 4 :
ASSAMESE
Subject 5 :
COMPUTER SCIENCE
Subject 3 :
MATHEMATICS
Subject 6 :
ENGLISH
Local Guardian's Name :
JUBARAJ THOUSEN
Local Guardian's Contact No :
9365760209
Enclosures: (Please tick)
Parents attested photo copy of Birth Certificate issued by Municipal Council.
Transfer Certificate in original issued from the previous school (if applicable).
Parents attested photo copy of progress report issued from the previous school. (If applicable)
Category/Caste Certificate (If applicable)
Migration Certificate. (If applicable)
DECLARATION
I/We wish to apply for admission of the above mentioned candidate to SAI RNS ACADEMY, Guwahati. I/We do hereby agree to abide by the terms of the prospectus, the rules and regulations of the School and the schedule of fees and payments as amended by the School at its discretion from time to time. I/We agree to permit photographs of my child/children to be used for the educational promotion of the School. I/We agree to accept the School’s decisions in regard to student management, welfare and discipline. I/We hereby sign below as the legal custodian/s of the above-mentioned applicant having read and understood all documentation pertaining to this enrolment process and further agree that the School reserves a discretionary right to either accept or reject this application without explanation
