Sl. No. .....................
ARYA BHARAT SIKSHYA PRATISTHAN
Vill + Post - Kahankia, Dist - 24 Pgs (N), Pin - 743245
Paste unat-
Teaching Subject : .................................................................................................... ......
tested colour
H.S. or Equivalent Institute Name : .................................................................................. photo. Do not
staple
Candidate’s Name (In Block Letters)
Father’s Name :
Mother’s Name :
Date of Birth : Gender : M F T
Category : Aadhaar No.
Address :
Pin code : Email Id: ...................................................................
Mobile No : 1. 2.
If in service (Deputed): .................................................................................................... .......................................
Name of School: .................................................................................................... ...............................................
Address: .................................................................................................... ...........................................................
Date of joining: .................................................................................................... ..................................................
Exam Board / Year Roll No. Regd. Subject
Marks
Passed
Obtained %
Univeristy No. / Total
10th (M.P.)
12th (H.S.)
B.A./B.Com /
B.Sc. (G/H)
M.A./M.Com
/ M.Sc.
I Sri/Smt. .................................................................................................... ..............................................
have admitted in Arya Bharat Sikshya Pratisthan. I will obliged under the terms and conditions and
the regulations of this institute.
Signature of the Candidate