R.K.

SENIOR SECONDARY SCHOOL

A F F I L I A T E D T O C . B . S . E B O A R D
Sector-D, Aliganj, Lucknow

Affiliation No: 2131195 ADMISSION FORM SESSION 2025-26 School Code: 70964

ALL FIELDS ARE MANDATORY AND TO BE FILLED IN BLOCK LETTERS

Form No. : .............................................

Date : .............................................
Class : ............................................. STUDENT’S PASSPORT
SIZE PHOTOGRAPH
Scholar Registration No. : .............................................
Date Of Admission : .............................................

STUDENT’S DETAILS
Permanent Education Number : ....................................................................................
1. Name (In block letter) : ....................................................................................
2. Gender (M/F/T) : ....................................................................................
3. Date of Birth (In figure) : ....................................................................................
4. Date of Birth (In words) : ....................................................................................
5. Adhar No. : ....................................................................................
6. Phone Number : ....................................................................................
7. E-mail Id : ....................................................................................
8. Disability (Y / N) attach relevant document : ....................................................................................
9. Previous School : ....................................................................................
10. Whether Recognized (Y / N) ...........……......……………Board………….........……………
11. Previous Board Registration No (Only for
class IX to XII) students : ....................................................................................

FATHER’S DETAILS
1. Father’s Name (In block letters) : ...................................................................................................................
2. Whether an Alumni (Y /N) : .............................................. 3. Admission No. : ...........................................
4. Occupation : ....................................... 5. Qualification : .......................................
6. Annual Income : ................................ 7. Adhar No. : ............................................
8. Religion : ............................................. 9. Nationality : ..........................................
10. Whether SC/ST/OBC/GEN : ...........................11. Minority (Y /N): ................
FATHER’S PASSPORT
12. Local Address : ……………………………………………………………………………................ SIZE PHOTOGRAPH

13. Permanent Address : ....................………………………………………………………………

.............................................................................................................................................
14. Distance From School in Km : ...................…………………………………………………
15. Phone No. 1) ERP…………………………………….................... 2). What’s app no.……………................……….
 MOTHER’S DETAILS
1. Mother’s Name (In block letters) : ..................................................................................................................
2. Whether an Alumni (Y /N) : .............................................. 3. Admission No. : ...........................................
4. Occupation : ....................................... 5. Qualification : .......................................
6. Annual Income : ................................ 7. Adhar No. : ............................................
8. Religion : ............................................. 9. Nationality : ..........................................
10. Whether SC/ST/OBC/GEN : ...........................11. Minority (Y /N): ................
MOTHER’S PASSPORT
12. Local Address : ……………………………………………………………………………................ SIZE PHOTOGRAPH

13. Permanent Address : ....................………………………………………………………………

.............................................................................................................................................
14. Distance From School in Km : ...................…………………………………………………
15. Phone No. 1) ERP…………………………………….................... 2). What’s app no.……………................…………

LOCAL GUARDIAN (IF APPLICABLE)

1. Guardian’s Name (In block letters) : ..............................................................................................................

2. Gender : ................................................. 4. Occupation : ........................................
5. Qualification : ....................................... 6. Annual Income : ................................
7. Adhar No. : ............................................ 8. Relation : .............................................
MOTHER’S PASSPORT
13. Local Address : ....................………………………………………………………………........... SIZE PHOTOGRAPH

.............................................................................................................................................
14. Distance From School in Km : ...................…………………………………………………
15. Phone No. 1) ERP………………………… 2). Whatsapp No: .……………..................

SIBLING’S DETAILS STUDYING IN OTHER SCHOOL

1. Name : ……………………..…………………............ Class : ……....……....… School : .……….........………….……………...

2. Name : …………………………………………........... Class : ……………........ School : …………………………….....…………
3. Name………………………………………….............. Class : …………............School : ……………….…………….....…………

SIBLING’S DETAILS STUDYING IN RKSSS

1. Name : ……………………..…………………............ Class : ……....……....… Admission No. : .………..........…………...

2. Name : …………………………………………........... Class : ……………........ Admission No. : .………..........…………...
3. Name………………………………………….............. Class : …………............ Admission No. : .………..........…………...

SUBJECT REQUIRED (ONLY FOR X/XI/XII

1. ...............……………………..……………. 2. ……....……....…................................ 3. .……….............................…………...

4. ...............……………………..……………. 5. ……....……....…................................ 6. .……….............................…………...
7. ...............……………………..……………. 8. ……....……....…................................ 9. .……….............................…………...
 SUBJECT GROUPS FOR XI & XII

1. SCIENCE (P.C.B)
a). English Core (301) d). Hindi Core (301)/ Informatics Practice (065) (ANYONE)
b). Physics (042) e). Physical Education (048)
c). Biology (004) f). Chemistry (043)

2. SCIENCE (P.C.M)
a). English Core (301) d). Maths (041)
b). Physics (042) e). Hindi Core (301)/ Informatics Practice (065) (ANYONE)
c). Chemistry (043) f). Physical Education (048)

3. COMMERCE
a). English Core (301) d). Business (054)
b). Economics (030) e). Hindi Core (301)/ Informatics Practice (065) (ANYONE)
c). Accountancy (055) f). Physical Education (048)

3. ARTS (HUMANITIES)
a). English Core (301) d). Geography (029)
b). Political Science (028) e). Economics (030) / History (027)
c). Physical Education (048) f). Hindi Core (301)/ Informatics Practice (065) (ANYONE)

( WITH ENGLISH CORE (301) TAKE ANY 4 OR 5 SUBJECTS )

MANDATORY ENCLOSURES
1.Student’s passport-size photograph in school uniform x 8
2.Parent’s passport-size photograph x 2 of each parent
3.Transfer Certificate (original)
4.Character Certificate (original)
5.Marksheet of the last exam passed
6.Birth Certificate (for classes I and II only)
7.Student’s Aadhaar copy
8.Student’s Medical Certificate
9.Parent’s Aadhaar copy

Note: “If parents fail to promptly inform the school office of any changes to
their phone numbers, address, or other contact details, the school will not
be liable for any missed information due to these changes.”

...............................................................
Signature of Parent/Guardian
Date : ...................................................