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 :
8 April 2023 at 9:11:57 am
Class in which admission is sought :
Class XI Science
Student's Name :
SOHAIB HUSSAIN
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
23/2/07
Caste/Community :
Religion :
General
Islam
Communication Address
House No :
City :
366
BARPETA
Locality :
State :
ASSAM
SONPURA
Pincode :
781314
School last attend :
Percentage/Overall Grade :
ADARSH VIDYALAYA
59
Class last studied :
Weakness/Disabilities :
10
Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :
BILLAL HUSSAIN
9954342226
TEACHER
Mother's Name :
Mother's Phone No:
Mother's Profession:
SHIRINA HAQUE
9365105375
HOUSE WIFE
Parent ID Details -
Voter Card
PAN Card
HTN1341782
ABIPH3253M
Examination Passed
CLASS X
University/Board
CBSE
Year of passing
Total Marks
Subject taken
Admission Categtory:
For Senior Secondary (XI & XII) Student
Subject 1 :
PHYSICS
Subject 2 :
CHEMISTRY
Subject 4 :
ENGLISH
Subject 5 :
COMPUTER SC
Subject 3 :
MATHS
Subject 6 :
ASSAMESE
Local Guardian's Name :
SOHAIL HUSSAIN
Local Guardian's Contact No :
8011437202
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
