DEEP ENGLISH SCHOOL
Kadampur, Rojidpur road, Near D S College road, Katihar
e-mail:deepenglish.schl@gmail.com
Website- www.deepenglishschool.com Affix recent photo
APPLICATION FORM of student
Admission Date: Session: 2020-21
Admission No.:
Adm. required for:
1. INFORMATION OF THE CHILD (Use capital letters only)
First Name Middle Name Last Name
2. Gender Date of Birth Date of Birth in words
Male Female Date Month Year
3.
Blood Group Religion Caste Nationality
4.
GEN OBC SC ST Other Aadhaar Number
5.
PERMANENT ADDRESS LOCAL ADDRESS
6.
Distance from school ( in Km)
WhatsApp Number
Preferred Phone Number for school SMS
7.
Emergency Contact Number Name of the person to be contacted Relationship
8. FAMILY INFORMATION
Father:
Name:
Affix father’s
Nationality: Educational Qualifications:
recent photo
Occupation: Annual Income:
Aadhar No.: Mb. :
9. Mother:
Name: Affix
mother’s
Nationality: Educational Qualifications:
recent photo
Occupation: Annual Income:
Aadhar No.: Mb. :
10. Guardian: (If parent is not present at the time of Admission)
Name: Relation: Affix
guardian’s
Nationality: Educational Qualifications:
recent photo
Occupation: Annual Income:
Aadhar No.: Mb. :
11. DETAILS OF PREVIOUS STUDY
Year School Standard Grade/Marks %
(Duration) in final exams
12. ENCLOURES (All documents are mandatory at the time of admission)
Birth Certificate (Copy) Blood Group Report (Copy)
Transfer Certificate (Original) Progress-report card of the previous class (Copy)
Aadhaar card copy of Father Mother Students
13. Means of communication for the student:
On foot with parents / relatives by school rickshaw / van
DECLARATION
I, _____________________________________have the authority to admit my child / ward _______________________ into the
school as the parent / legal guardian. I undertake the responsibility of providing any evidence needed to support the information
provided here, if necessary for any reason. I declare that the statements provided in this applications are correct to my knowledge
and if found otherwise, I shall abide by the decision of the management, I agree to abide by the rules. Regulation and the fee
structure of the school.
………………………………. …………………………………..
Signature of the Student Signature of Parent / Guardian
Date: - …………………………
For office use only
………………………….. ………………………...
Admission Co-ordinator Head of the Institution
Date ____________________ Date ____________________