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Admit Card

Class VI - Registration for Admission (Session 2022)

All columns are mandatory. If a certain column is not applicable for you, please write N/A.

Applying For

Mother Tongue

First Language

Second Language

Candidate's Primary Details

Photo

Signature

Name

Gender

Category

Date of Birth
Age of the candidate should be between 10 to 11 years as on 31st December 2021.

Place of Birth:

Religion:

Nationality

Blood Group

Candidate's Aadhaar Card No. / Aadhaar Enrolment No. :

Stays With:

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)

Identification Mark

Name of Any Known Person ever Admitted to Vidyapith:

Year of Admission

Relation with Candidate

Any serious ailment/chronic disease (in detail, with year):

Father's Information

Name

Contact Number/Phone

Email

Qualification

Occupation

Office Name

Office Address

Annual Income (in rupees)

Mother's Information

Name

Contact Number/Phone

Email

Qualification

Occupation

Office Name

Office Address

Annual Income (in rupees)

Legal Guardian's Name (Only if Father is not the Guardian)

Address of Correspondence

Contact Number/Phone (Will be used for communication)

Email (Will be used for communication)

Address

Village/Town/City

Post Office

District

State

Pin

Country

Permanent Address same as Present Address

Permanent Address

Contact Number/Phone

Email

Address

Village/Town/City

Post Office

District

State

Pin

Country

Candidate's Academic Details

Now studying in:

Institution

Board

Status of the Institution

Medium

Co-Curricular activities, if any

Documents to be Uploaded (JPG ONLY)

Candidate's Aadhaar Card/Aadhaar Acknowledgement

Full Signature of Father / Legal Guardian

Declaration

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.

Date: 24-09-2021

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.

Date: 24-09-2021

Father/Mother/Guardian

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