Document

Susanskar vidya mandir
Singhaniya Nagar, Arni Road, Yavatmal - 445001
School Affiliation No. :- No. S.E.M.S 16524/2012
Phone No. 07232-254854

Student Data Form

Student

Father

Mother

Student Details:-

Form No.

Date of Issue

Date of Submission

Student Saral

Full Name:-

Date of Birth:-

Male

Female

Date of Birth (In Words):-

Birth Place:-

Age:-

Blood Group:-

Religion:-

Caste:-

Category:-

Nationality:-

Mother Tongue:-

Medical History:-

Identification Mark:-

Admission sought to class:-

Last Result:-

Last School Name:-

Reason to Leave Last School:-

Parent's Data Form

Father Mr.:-

Mother Mrs.:-

Qualification:-

Profession:-

Government/Private:-

Monthly Income:-

Annual Income:-

Mobile No.:-

Whats App No.:-

Email Address:-

Residential Address:-

Siblings Information

No. of Siblings:-

Std.

School

Std.

School

If the parents are divorcee/expired/child is having step parents/childs adopted.

Please Mention Below

THIS INFORMATION SHEET FORMS PART OF THE APPLICATION FOR ADDMISSION THAT ALL THE ABOVE INFORMATION ARE TRUE & ACCURATE.

DATE___________________

Signature of Parent/Guardian

Declaration By Parent

Pupil's Name in Full:-

STD

Class Roll No.

General Registraction No.

Date of Birth:-

Religion:-

Caste:-

Parent's/Guardian's Name

Parent's Qualification

Parent's Profession (In Detail)

Home Address

Telephone No. (Home)

Office Address

Telephone No.

Email-Id

To,

The Head Mistress,

Susanskar Vidya Mandir

Pre-Primary, Primary and High School,

Yavatmal

I the undersigned, have read, the declaration by the school, rules and regulations of the school and I agree to abide them and co-operate with you in the interest of my daughter/son/ward. I will accept the decision of the school and authority as regards the interpretation of the rules as final.

Signature of Parent/Guardian's

Enclosures:

PHOTOGRAPH OF STUDENT

CHILD AADHAR CARD

BIRTH CERTIFICATE

TRANSFER CERTIFICATE

PREVIOUS YEAR'S MARKSHEET

MEDICAL FITNESS CERTIFICATE OF THE CHILD

PARENT'S HOME ADDRESS PROOF

PARENT'S WORKING ADDRESS PROOF