Admission Class XI – GOPALNAGAR HARIPADA INSTITUTION

Admission Form Class XI (2026-2027)

Banglar Shiksha ID

Applicant’s First Name

Middle Name

Last Name

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Father’s Name

Mother’s Name

Guardian’s Name

Date of Birth

Sex

Aadhaar Number

Address

Phone/Mobile

Caste

Sub-Caste

Religion

If other type your Religion

Are you Physically Challenged (CWSN)

If Yes Details of Nature

Bank Account Number

Branch

IFSC

Name of School Last attended

Madhyamik Pass in the Year

Madhyamik Roll Number

Marks obtained in Madhyamik Exam

Bengali

English

Math

P. Sc.

L. Sc.

Hist.

Geo.

Total

stream

Compulsory language group : i) BENGALI (BNGA) ii) ENGLISH (ENGB)

Subjects combination (Science)

Whether you choose Computer Science (COMS) or Modern Computer Application (COMA)

Whether you choose Chemistry (CHEM)or Geography (GEGR)

Subjects combination (Arts)

Whether you choose Computer Application (COMA) or Health & Physical Education (PHED)

Subjects combination (Commerce)

Whether you choose Computer Application (COMA) or Health & Physical Education (PHED)

Declaration :

I do hereby declare that the above information provided by me is complete and correct to the best of my knowledge and belief. I understand that rendering incorrect information shall disqualify the applicant for admission to the school. I have carefully read the rules and regulations laid by the school and being desirous of having my ward educated in this school. I hereby agree to abide by them in all respects. I understand that the decision of the management of the school shall be final. I hereby certify that my ward and I shall follow all the rules and regulations enforced from time to time by the school management. I undertake that I shall not indulge into unwanted activities in order to maintain the sanctity of the Institution.