Admission Class V-IX – GOPALNAGAR HARIPADA INSTITUTION

Application Form Class V to IX

Class

Banglar Shiksha ID

Student Photo

Student Photo Upload, jpg,jpeg,png (Maximum File 50kb)

First Name

Middle Name

Last Name

Social Category

Sub-Cast

Religion

DOB

Aadhaar number

Name of the Previous School

Previous Class

Roll No

Blood Group

Father's Name

Mother's Name

Guardian

Guardian's Name

Guardian's Qualification

Annual Family Income

VILL

LOCALITY (PARA)

DIST

PANCHAYET

P.O.

P.S.

Pin Code

Phone/Mobile

WhatsApp Number

Name of the Bank

Name of the Branch

IFSC Code

Account Number

Children with special need

Type of Disability

Hight (CM)

Weight (Kg)

Declaration :

I do hereby declare that the above information provided by me is authentic to the best of my knowledge and belief. I understand that rendering wrong 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 hereby certify that my ward and I shall follow all the rules and regulations enforced from time to time by the school management committee. I undertake that I shall not indulge into unwanted activities in order to maintain the sanctity of the Institution.