S.No. ADMISSION FORM Form No. Registration No.

Date :

How did you learn about the opening of admission at the AFFIX STUDENTS PASSPORT SIZE PHOTO

R.K. SENIOR SECONDARY SCHOOL ADVT.

WEBSITE

PRE-SCHOOL

FRIENDS

OTHERS

The Principal, I apply for the admission of my son/daugther to class.............. for the session .............. STUDENT DETAILS 1- Name (In Capital Letters) : ..............................................................................M

F

2- Admission sought in Class : 3- Date of Birth :

DAY

MONTH

YEAR

4- Date of Birth (In words) : ................................................................................................................................. 5- Name of the previous school : ........................................................................................................................ 6- Year of Passing : ............................................................................................................................................. 7- Mother Tongue : HINDI

ENGLISH

OTHER (SPECIFY)

..........................................

8- Is your child suffering from any chronic disease/illness/allergy/disabilities which the school should be aware of ...................................................................................................................................................................... 9- Residential Address : (Local Address) 10-Whether any sibling's (real brother/sisters who have applied or studying at RKSSS) if Yes Name

Class

Reg. No.

a) b) c)

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FATHER'S DETAILS Name (In Capital Letters) : Qualification :

AFFIX A RECENT PASSPORT SIZE PHOTO OF THE FATHER

Phone No. : Occupation : Office Address : Home Address : E-MAIL : Signature : Date : MOTHER'S DETAILS Name (In Capital Letters) : Qualification : Phone No. : Occupation : Office Address : Home Address : E-MAIL : Signature : Date : What are your child's special skills and interests? Mentions achievements if any.

AFFIX A RECENT PASSPORT SIZE PHOTO OF THE MOTHER

I certify that I am Father/Mother of the child and all the above in formations are correct to the best of my knowledge. I have read all the rules and regulations and information given overleaf. I also acknowledge that the fees is not refundable once paid under any circumstances. Father's Signature :

Mother's Signature :

Date :

TO BE FILLED BY CLASS XI / XII ONLY

For Class XI & XII Science Group For Class XI & XII Commerce Group Optional Subject (Any One) Hindi Hindi Computer Computer Physical Education Physical Education (Subjects once opted will not be changed) Parent Signature :___________________

DECLARATION I/We hereby certify that the information is correct to best of my/our knowledge and belief. Further, I/We fully understand that if any information is found to be false/incorrect, the admission of my/our ward will stand cancelled. I/We also understand that the application for admission doesn't guarantee admission to my/our ward. If my/our son/dauther is selected for admission, we hereby agree and give consent to abide by the rules and regulations of school as applicable now and as amended from time to time. Fees once paid is not refundable in any case.

Signature : ____________ Father : _______________ Mother : _______________ Date : _________________ FOR OFFICE USE ONLY ADMISSION ORDER BY THE PRINCIPAL OF THE SCHOOL ADMITTED

NOT ADMITTED

CLASS__________w.e.f _______

Signature of the Principal : ____________ Date : _________________

Documents Required at the time of Admission (in original) 1- Transfer certificate, 2- Marksheet of Previous Class Passed. 3- Passport Size Photographs of Mother & Father in Two copies each., 4- Adress Proof. (Photo copy of Telphone Bill/Electricity Bill/Voter ID Card/Bank Passbook/Driving Licence/ Passport) 5- Birth Certificate. 6- Two recent passport sized photograph of the child & each parent to be submitted. 7. Proof of sibling if studying at happy world (wherever applicable ) 8. Final progress report of the previous class and the recent progress report of the current class(wherever applicable).

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