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 :
30 January 2021 at 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
