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
Photo
Signature
Name
Gender
Category
Date of BirthAge of the candidate should be between 11+ to 12 years as on 1st April 2025.
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)
Any serious ailment/chronic disease (in detail, with year):
Weight (in kg)
Identification Mark
Name of Any Known Person ever Admitted to Vidyapith:
Year of Admission
Relation with Candidate
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)
Contact Number/Phone (Will be used for communication)
Email (Will be used for communication)
Address
Village/Town/City
Post Office
District
State / Union Territory
Pin
Country
Permanent Address same as Present Address
Now studying in:
Institution
Board
Status of the Institution
Medium
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.
Date: 04-11-2024
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.
Father/Mother/Guardian
For Technical Help Contact: +91-9002-584-311 (WhatsApp/SMS only)
On submit, an email will be sent to your email address with login credentials (Form No. and Date of Birth as DDMMYYYY)