For Office Use Only
Form Number: Admission No.:
Admission Fees Receipt No.:
Hostel Form No.: (If any)
SIGNOR SENIOR SECONDARY SCHOOL
Sonari, Ward No. 1, Charaideo(Assam)
Under ASSEB (Formerly SEBA & AHSEC)
SCHOOL CODE: 065481
Email:
[email protected] Recent
ADMISSION FORM Passport
Size
Photograph
Admission Type: Regular/Transfer
Student’s Detail:
Name:____________________________________________________________________________________________
Nationality:______________ Mother Tongue:_____________________ Gender: Male/Female
Date of Birth (dd/mm/yyyy): _____/_____/___________ Religion:__________________ Caste:_______________
Category: GEN/EWS/OBC/ST/SC Blood Group:________ Weight: ____________ kg Height: _________ cm
Address: _________________________________________________________________________________________
_________________________________________________________________________________________
PINCODE: ________________________
Adhaar No.: _______________________________ APAAR ID: ___________________________________________
Last School Attended: _____________________________________________________________________________
Percentage of Marks Obtained in Last Examination: ___________________ %
PEN No.: ______________________________________
Father’s Detail: Mother’s Detail:
Name: _______________________________ Name: ________________________________
_______________________________ _______________________________
Phone No.: ___________________________ Phone No.:____________________________
Adhaar No.: __________________________ Adhaar No.: ___________________________
Occupation: __________________________ Occupation: ___________________________
Educational Qualification: _____________ Educational Qualification: ______________
_______________________________ ________________________________
Annual Family Income: ____________________________________________________________________________
(in words): ____________________________________________________________________________
Local Guardian Detail:
Name: ________________________________
________________________________
Phone No.: ____________________________
Adhaar No.: ___________________________