Sl. No. …………….. ST. MARY’S SCHOOL NAIBAZAR, BHADOHI Tel: 05414-278635, Email: [email protected] www.stmarysbdh.com Photo APPLICATION FOR ADMISSION 1. Scholar’s name in full (In Capital)……………………………………………………………………………………………… 2. Sex …………………………………………………………………………………………………………………………………………... 3. Date of Birth: (a) in figures ………………………………………………………………………………………………………. 4. 5. 6. 7. 8. 9. (b) in words …………………………..…………………………………………………………………………….. Class to which admission is sought ………………………………………………………………………………………….... Nationality …………………………….……………….…………………………….………………………………….……………….. Religious denomination ……………….…………………………….…………………………….……………………………….. Last school attended …………………………………………….…………………………….…………………………….………. Medium ……………………………………………………………………………………………………………………………………. Father’s name …………………………….……………….…………………….……….…………………………….………………. Occupation ……………………………………………………………………………………………………………………………….. Mother’s name …………………………………………………………………………………………………………………………. Occupation ……………………………………………………………………………………………………………………………….. 10. Address …………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………… 11. Guardian’s name (if not same as father) …………………………………..………………………………………………. Occupation ………………………………………………………………………………………………………………………………. Address .…………………………………………………………………………………………………………………………………... Relationship to the child …………………………………………………………………………………………………………… 12. Name and class of the applicant’s brother or sister studying in this institution ………………………...... ………………………………………………………………………………………………………………………………………………… 13. Mobile no. / Email ID .………………………………………………………………………………………………………………. Note : For L.K.G. : (a) The child must complete four years as on 1 st July. (b) Please submit the photocopy of the birth certificate along with this form. For Others : Please submit Statement of marks of the previous class passed or bonafide certificate. Date ………/…………/20………. Signature of Parent/Guardian Note: Selling and buying of this form is illegal and prohibited. This form can be downloaded from our official website. Page 1 of 2 Sl. No. …………….. Name of the scholar ……………………………………………………………………………………………………………………… Class to which admission is sought ………………………………………………………………………………………………… Entrance Examination at ……………………………………………………………………. on ……………………………..……… Date ………/…………/20………. Signature of the Receiving Clerk Documents required for Admission 1. Date of Birth Certificate from Municipal or Block or Nagar Panchayat / Tahsheel. 2. Transfer Certificate (T. C.) for other classes. Note: Selling and buying of this form is illegal and prohibited. This form can be downloaded from our official website. Page 2 of 2