Student's Primary Details

Photo (in JPG and below 500kB)

Signature (in JPG and below 500kB)

Name

Mother Tongue

Student's Secondary Details

Aadhaar Card No. / Aadhaar Enrolment No. :

Stays With:

Both Parents Mother Father Guardian other than parents

Identification Mark

Accidents, if any (with year)

If counselled for conduct problems (Year)

Any serious ailment (in detail, with year):

If suffers from any chronic disease (Give details)

Address of Correspondence

Phone Number (Will be used for communication) (10 digit)

Address

District

State

PIN Code

Country

Email (Will be used for communication)

Permanent Address is same as the Address of Correspondence

Permanent Address

Phone Number (10 digit)

Address

District

State

PIN Code

Country

Email

Father's/Guardian's Information

Name

Phone Number (10 digit)

Qualification

Occupation

Office Name

Office Address

Email

Annual Income (in rupees)

Relationship with Candidate

Father Mother Grandfather Grandmother Uncle Aunt Other

Mother's Information

Name

Phone Number (10 digit)

Qualification

Occupation

Office Name

Office Address

Email

Annual Income (in rupees)

Student's Academic Details

Now studying in:

Institution

Board

Co-Curricular activities, if any

Result of the Last Annual Examination

(In case the student is studying in class IV, please provide the result of annual examination of class III)

Last Annual Examination passed with year (e.g. Annual exam of class III/IV/V, 2022)

Percentage of marks obtained

Declaration

Student's Declaration: I hereby acknowledge that I have carefully read and understood the prospectus, general rules, and regulations of Ramakrishna Mission Vidyapith, Purulia. I pledge to abide by the rules as laid down, and any other rules that the Vidyapith authorities may introduce in the future. In the event of any breach of discipline on my part, I accept and agree to abide by the decisions made by the Vidyapith authorities.

Guardian's Declaration: I have thoroughly read the general rules and regulations of Ramakrishna Mission Vidyapith, Purulia as provided in the Prospectus, and I believe that they are essential for the education of my ward. The statements made here are true to the best of my knowledge and belief. I pledge to cooperate with the Vidyapith authorities in every aspect to facilitate my ward's education in accordance with the existing rules and regulations, as well as any future modifications that may be introduced. I understand that if I withdraw my ward from the Vidyapith before the completion of an academic year, I shall be liable to pay compensation for the remaining part of that year.