Fill with N/A, which fields are not applicable for the applicants.
Applying For
1st Preference
2nd Preference
3rd Preference
Preferred Compulsory Tutorial
Photo
Signature
Name (As per Board Registration Certificate)
Gender
Category
Date of BirthAs per Board Admit Card / Registration Certificate
Place of Birth:
Religion:
Nationality
Blood Group
Mother Tongue:
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
Identification Mark
Any serious ailment / chronic disease (in detail, with year):
Name of Any Known Person ever Admitted to Vidyapith:
Year of Admission
Relation with Candidate
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)
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
Status of the Institution
Medium
Board
Co-Curricular activities, if any
Candidate's Aadhaar Card / Aadhaar Acknowledgement
Full Signature of Father / Legal Guardian
Admit Card of Board Examination / Board Registration Certificate for Class X / Identity Card or Bonafide Certificate Issued by the Present School
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: 09-07-2025
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
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