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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:

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

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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