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 :

30 January 2021, 5:41:16 am

Class in which admission is sought :

Class XI Science

Student's Name :

Uddipta Gautom Bhuyan

Paste passport size colour photograph.

Gender :
Date of Birth :

Male

20/1/05

Caste/Community :
Religion :

General

Hinduism

Communication Address
House No :
City :

7

Guwahati

Locality :
State :

Assam

Hengrabari Road

Pincode :

781006

School last attend :
Percentage/Overall Grade :

Srimanta Sankar Academy

91

Class last studied :
Weakness/Disabilities :

Class X

No

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

Mrinmoy Bhuyan

9435100016

Service

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

Papari Bhuyan

9476688382

Housewife

Parent ID Details -
Examination Passed

University/Board

Year of passing

Total Marks

Subject taken

Admission Categtory:

Subject 1 :

ENGLISH

Subject 2 :

PHYSICS

Subject 4 :

MATHEMATICS

Subject 5 :

PHYSICAL EDUCATION

Subject 3 :

CHEMISTRY

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 :