Application Form

CHILD’S NAME (Block Letters):*

Date of Birth:*

Day12345678910111213141516171819202122232425262728293031

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Year2016

Religion:*

—— Select ——HinduChristianIslamSikhOthers

Mother Tongue:*

—— Select ——BengaliHindiOthers

Father’s Name:*

Mother’s Name:*

Father’s Qualification:

Mother’s Qualification:

Father’s Occupation & Designation:*

Mother’s Occupation & Designation:

Family income per month:*

Distance from the School (KM):*

Mobile / Phone no.:*

Home Address (Brief):*

Number of children in your family:*

Sons
012345

Daughters
12345

School in which they read and class:

Is the Mother an ex-pupil of this school? :

No

Yes

We certify that the information given above is correct and no further changes will be made.

N.B.: Filling up this FORM is NOT a guarantee for admission. Kindly take a print of the Form.