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:
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