Admission Form

GAYESHPUR NETAJI VIDYAMANDIR (H.S.)

GAYESHPUR • NADIA

( APPLICATION FORM FOR ADMISSION TO CLASS XI (General / Vocational)

* marks fields are mandatory field.

Name of the Applicant *

Applicant’s E-mail *

Nationality *

Religion *

Applicant’s Aadhaar No. *

Father’s Name *

Father’s Aadhaar No.

Mother's Name *

Mother's Aadhaar No.

Address *

PIN *

Guardian’s Name *

Guardian’s Address *

Guardian’s Mobile No. *

Relationship with the Guardian *

Guardian’s Aadhaar No. *

Student belongs to *

SC ST OBC-A OBC-B GEN

DOB *

Name of the School last attended *

Examination Passed *

Name of the Board *

Roll *	No. *	Year *

Marks obtained in the Qualifying Examination *

BENG *	ENG *	MATH *	PH.SC. *	L.SC *	HIS. *	GEO. *	ADDL.	TOTAL *	% OF MARKS *

Select Stream

GENERAL STREAM VOCATIONAL STREAM

VOCATIONAL STREAM (X + Level)

Discipline

Engineering & Technology

Trade (Select any one) *

Computer Hardware & Maintenance
Air Conditioner & Refrigerator Mechanic

* Upload Scan Copy of Documents in JPEG or JPG format

(i) Applicant's Signature (size: 5KB to 30KB)

(ii) Applicant's Picture (size: 20KB to 300KB)

(iii) Marksheet (size: 20KB to 500KB)

Date of Apply *

N.B. – (i) Attested xerox copies of the M.P. Mark-Sheet, Admit Card, Certificate from Local Authority in support of SC/ST/OBC and Aadhaar Card are to be submitted with this application at the time of admission.

I declare that the information & particulars given above are true.