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Admission Form for session:- 2022-2023

Form Number - SREERAM/2022-23/...................

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SREERAM ACADEMY

CBSE Affiliated Sr. Sec. School, Estd. – 2007

Affiliation No.: 230125

Student Code : 

Type of Enrollment:

Boarding

Date of Application :

22 May 2023 at 10:34:01 am

Class in which admission is sought :

Class XI Science

Student's Name :

Bhwirab gwra basumatary

Paste passport size colour photograph.

Gender :
Date of Birth :

Male

2/11/08

Caste/Community :
Religion :

ST

Hinduism

Communication Address
House No :
City :

221

Bijni

Locality :
State :

Assam

Ulubari

Pincode :

783390

School last attend :
Percentage/Overall Grade :

UN academy kokrajhar

49%

Class last studied :
Weakness/Disabilities :

Class X

Sickness

Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :

Lt. Tikendra basumatary

None

None

Mother's Name :
Mother's Phone No:
Mother's Profession:

Lt.Kamila basumatary

None

Parent ID Details -
Aadhar Card
PAN Card
Pan card
Aadhar card
Examination Passed

HSLC

University/Board

SEBA

Board

Year of passing

2022-23

Total Marks

290

49%

Subject taken

English, maths, science, social science, geography, bodo

Admission Categtory:

For Senior Secondary (XI & XII) Student

Subject 1 :

English

Subject 2 :

Biology

Subject 4 :

Mathematics

Subject 5 :

Computer science

Subject 3 :

Physics

Subject 6 :

Chemistry

Local Guardian's Name :

Jharna basumatary

Local Guardian's Contact No :

7099869246

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

PLEASE NOTE THAT ISSUE OF ADMISSION FORM DOES NOT ENSURE ADMISSION
Signature (Parent/Guardian)
Date :
FOR  OFFICE  USE  ONLY
Name of Student:
Class in which admission is sought :
[   ] Admission Granted   [   ] Not granted
Remarks :
Admission Co-ordinator's Signature
Date:
Signature of Principal
Date :
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