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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 :

24 May 2023 at 1:54:37 pm

Class in which admission is sought :

Class XI Science

Student's Name :

Mampy kalita

Paste passport size colour photograph.

Gender :
Date of Birth :

Female

17/10/06

Caste/Community :
Religion :

General

Hinduism

Communication Address
House No :
City :

90

Pathsala

Locality :
State :

Assam

Rupdiga

Pincode :

781375

School last attend :
Percentage/Overall Grade :

Pranabananda Vidyamandir (PVM)

81

Class last studied :
Weakness/Disabilities :

Class X

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

Ratneswar Kalita

6002089735

Police HC

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

Lakhi Kalita

6002704436

Housewife

Parent ID Details -
PAN Card
PAN Card
DTZPK1019J
BHQPK4921C
Examination Passed

HSLC

University/Board

CBSE

Year of passing

2022-23

Total Marks

491

Subject taken

Science

Admission Categtory:

For Senior Secondary (XI & XII) Student

Subject 1 :

Physics

Subject 2 :

Biology

Subject 4 :

Chemistry

Subject 5 :

English

Subject 3 :

Math

Subject 6 :

Computer science

Local Guardian's Name :

Deepjyoti kalita

Local Guardian's Contact No :

8811052448

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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