All columns are mandatory. If a certain column is not applicable for you, please write N/A.
Date of BirthAge of the candidate should be between 10 to 11 years as on 31st December 2021.
Place of Birth:
Candidate's Aadhaar Card No. / Aadhaar Enrolment No. :
No. of Family Members:
No. of Brother (s)
No. of Sister (s):
At what no. is the candidate among his siblings
Height (in cm)
Weight (in kg)
Name of Any Known Person ever Admitted to Vidyapith:
Year of Admission
Relation with Candidate
Any serious ailment/chronic disease (in detail, with year):
Annual Income (in rupees)
Legal Guardian's Name (Only if Father is not the Guardian)
Contact Number/Phone (Will be used for communication)
Email (Will be used for communication)
Permanent Address same as Present Address
Now studying in:
Status of the Institution
Co-Curricular activities, if any
Candidate's Aadhaar Card/Aadhaar Acknowledgement
Full Signature of Father / Legal Guardian
Student's Declaration: I have read the prospectus, general rules and regulations of the Vidyapith. I declare that I shall abide by the rules as laid down and such other rules as the Vidyapith authorities will frame from time to time. In case of any breach of discipline by me, I shall be liable to accept the decision taken by the Vidyapith authorities.
Signature of Candidate
Guardian's Declaration: I hereby declare that the details furnished above are TRUE and CORRECT to the best of my knowledge and belief and I bear all the responsibility and consequences if found otherwise by the authority at any instance. I have also gone through and agree to all academic, disciplinary, financial, spiritual and other relevant clauses/terms and conditions pertaining to my ward and myself as written therein. I shall be responsible for the expenses and conduct of my ward/son. If I withdraw my ward/son after admission, the deposits made therein shall be treated as non-refundable. In case any breach of discipline or neglect of studies, the decision of the Secretary and Principal will be final and binding on me. I also agree that all legal matters are under the jurisdiction of Deoghar Court only.
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