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 :
19 May 2025 at 4:58:48 pm
Class in which admission is sought :
Class XI Science
Student's Name :
Raqutim Kumar Das
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
25/11/08
Caste/Community :
Religion :
General
Hinduism
Communication Address
House No :
City :
69
BARPETA
Locality :
State :
Assam
Moutupuri
Pincode :
781316
School last attend :
Percentage/Overall Grade :
Don Bosco School Barpeta Road
95.80%
Class last studied :
Weakness/Disabilities :
10
Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :
Jeetu Kumar Das
7002513643
Defense personnel
Mother's Name :
Mother's Phone No:
Mother's Profession:
Gitika Das
9435891542
Housewife
Parent ID Details -
Aadhar Card
Aadhar Card
713692451203
397018657794
Examination Passed
University/Board
Year of passing
Total Marks
Subject taken
Admission Categtory:
For Senior Secondary (XI & XII) Student
Subject 1 :
English
Subject 2 :
Physics
Subject 4 :
Mathematics
Subject 5 :
Computer Science
Subject 3 :
Chemistry
Subject 6 :
Information Practices (IP)
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
