Scribd
Upload
65 views

BANK REF. NO:DUD2148023: Application Form For Admission in Class-Xi, Session:2020-21

Supragati Roy is applying for admission to class 11 at Ramakrishna Vivekananda Mission Vidyabhavan for the 2020-21 session. She is seeking admission to the Arts stream with Bengali, English, Education, History, Political Science and Geography as her subject combination. She completed her class 10 exams from Barrackpore Mission Schools, scoring 515 marks in aggregate. Both the student and guardian have signed declarations agreeing to abide by the school's rules and regulations.

Uploaded by

Shuvajit Roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
65 views

BANK REF. NO:DUD2148023: Application Form For Admission in Class-Xi, Session:2020-21

Supragati Roy is applying for admission to class 11 at Ramakrishna Vivekananda Mission Vidyabhavan for the 2020-21 session. She is seeking admission to the Arts stream with Bengali, English, Education, History, Political Science and Geography as her subject combination. She completed her class 10 exams from Barrackpore Mission Schools, scoring 515 marks in aggregate. Both the student and guardian have signed declarations agreeing to abide by the school's rules and regulations.

Uploaded by

Shuvajit Roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

RAMAKRISHNA VIVEKANANDA MISSION

VIDYABHAWAN (H.S.)
39, PARK ROAD, BARRACKPORE, PIN - 700120

APPLICATION FORM FOR ADMISSION IN CLASS-XI, SESSION:2020-21

Form No. : 00369 BANK REF. NO :DUD2148023

PREVIOUS SCHOOL BARRACKPORE MISSION SCHOOLS

SCHOOL NAME (IF NOT FROM RKVM


VIDYABHAWAN)

STREAM ARTS

SET SET-4

SUBJECT COMBINATION LAN 1: BENG LAN 2: ENG ELEC 1: EDCN


ELEC 2: HIST ELEC 3: POLS ELEC 4: GEGR

APPLICANT'S NAME (in SUPRAGATI ROY


block letters)

DATE OF BIRTH Sat, 05/17/2003

ADDRESS WITH PIN Shahid Khudiram Sarani, Belgharia, PO


CODE NIMTA Pin Code - 700049

FATHER’S NAME Subodh Chandra Roy

CONTACT NUMBER 8296604005

MOTHER’S NAME Sukla Roy

CONTACT NUMBER 8296266002

GUARDIAN’S NAME Subodh Chandra Roy

CONTACT NUMBER 8296604005

RELATIONSHIP WITH Daughter


GUARDIAN

CITIZENSHIP Indian

VERSION BENGALI GENDER FEMALE

CASTE GEN PHYSICALLY NO


CHALLENGED

YEAR OF PASSING : 2020

ROLL : 705552N NO. : 0098

Particulars of the last qualifying examination

BOARD PHY SC LIFE SC MATH GEOG AGGREGATE IN


MADHYAMIK

WBBSE 55 69 84 75 515

Contact No.. : 033-2545-2464/033-2592-0547, FAX :033-2592-6904, e-mail : [email protected]


Visit : www.rkvmschools.org
RAMAKRISHNA VIVEKANANDA MISSION
VIDYABHAWAN (H.S.)
39, PARK ROAD, BARRACKPORE, PIN - 700120

APPLICATION FORM FOR ADMISSION IN CLASS-XI, SESSION:2020-21

*The merit list will be prepared on basis of data provided by the candidate.
Any false or inadequate information is liable to cancellation of application.

Terms and Conditions

i)School fees is to be paid regularly within 10th day of every month


ii) In case students fail to pay tuition fees for consecutive two months his/her name will be struck off
iii) Guardian has read the prospectus of the school carefully and agreed to abide by the decision of the school
authority as final under all circumstances,
iv) 75% attendance is compulsory for attending School/Council Exam,
v) there are limited seats in the school and admission is done for the limited seats only,
vi) subject combination can not be changed after admission/publication of merit list,
vii) those who do not obtain pass marks in School examination are not allowed to continue.,
viii) those who have not studied Bengali as 1st Language in Madhyamik Examination are not eligible to apply
for admission in Higher Secondary Course of study in this institution.,
ix) Carrying mobile phone and any other electronics gadgets,which are meant for correspondence,at the
school premises is strictly prohibited.

DECLARATION BY THE STUDENT DECLARATION BY THE GUARDIAN

I do hereby confirm that I shall abide by all the I affirm that the above particulars are true to
rules and regulations of the institution and the best of my knowledge and belief. I further
attend the classes regularly. If my behaviour in comply with the decision of the school authority
or outside the school premises seems to affect regarding admission and to extend utmost co-
the dignity of the institution, I shall be bound to operation to the school authority for
follow the decision taken by the authority of the improvement of academic standard of my
institution against me for the aforesaid act of candidate. If at any time after admission the
misconduct or indiscipline. school authority so directs, I shall be bound to
withdraw my candidate from the school. I also
agree that I shall not claim for refund of fees
paid under any circumstances.

.................................................
.................................................
SIGNATURE OF GUARDIAN
SIGNATURE OF STUDENTS
DATE :
DATE :
PLACE :
PLACE :

Contact No.. : 033-2545-2464/033-2592-0547, FAX :033-2592-6904, e-mail : [email protected]


Visit : www.rkvmschools.org

Powered by TCPDF (www.tcpdf.org)

You might also like