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 :
10 March 2023 at 12:40:33 am
Class in which admission is sought :
Class VII
Student's Name :
RANADEEP MALLICK
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
30/9/11
Caste/Community :
Religion :
OBC
Hinduism
Communication Address
House No :
City :
BJINI
Locality :
State :
Assam
SRI DURGA COLONY ROAD
Pincode :
783390
School last attend :
Percentage/Overall Grade :
PKM EM SCHOOL,DHALIGAON
85
Class last studied :
Weakness/Disabilities :
CLASS VI
No
Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :
RAKHAL MALLICK
9954119424
SERVICE
Mother's Name :
Mother's Phone No:
Mother's Profession:
MADHUMITA SARKAR
6026511592
House wife
Parent ID Details -
PAN Card
Voter Card
ALXPM6613P
FQM1695756
Examination Passed
University/Board
Year of passing
Total Marks
Subject taken
Admission Categtory:
For Secondary (Nursery to Class XI) Student
Subject 1 :
Subject 2 :
Subject 4 :
Subject 5 :
Subject 3 :
Subject 6 :
Local Guardian's Name :
Local Guardian's Contact No :
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