ADMISSION FORM


To
The Principal
Satish Chandra Memorial School
Pumlia (Chowrasta), Chakdaha
Nadia, West Bengal

PLEASE FILL IN THE FORM IN BLOCK LETTERS ONLY.
(*) - Marks are mandatory

Photo to
be
attached
(Image width should be within 3.5x4.5 cm)

Dear Madam / Sir,

I request you favour for admitting my ward to your school. I accept the terms mentioned in your prospectus and I am furnishing the following particulars about my ward.

Student's Detail

PARENT'S DETAIL

(Image width should be within 3.5x4.5 cm)
(Image width should be within 14x4 cm)
(Image width should be within 3.5x4.5 cm)
(Image width should be within 14x4 cm)

GUARDIAN'S DETAIL

(Image width should be within 3.5x4.5 cm)
(Image width should be within 14x4 cm)

Subjects opted for

Stream opt: Science / Humanities / Commerce

Please atttach class X pre board / Mock test marks Statement / Board final result *

Student's Birth Certificate *

Class X Admit *

Father's Id Proof *

Mother's Id Proof *

Cast Certificate (Student / Father) *

LAST ACADEMICS DETAILS

Language Information

(Image width should be within 14x4 cm)

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Verified by

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Date

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Signature of Parent (Image width should be within 14x4 cm)

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Approved by