Kendriya Vidyalaya
APPLICATION FOR ADMISSION
sh4 Ho Sr.No.
1. faneit a RI HName of Student
2. $t jag -fafy (3jsi )
Date of Birth (in figures).
3. (HTT q t 31 Hrd )
Age (as on 31st March of theYear) Year Month Days
4. Sy4 Blood Group 3TTTR o Aadhar No.
TIa Nationality...
6. I I - f al : fual
Details of Parents : Mother Father
) 4 Full Name.
(i) 4H Occupation
Name of office and full address with Tel. No.
Full residential address with Tel. No.
(v) a g o Mobile No.
Basic pay as on 1stApril of theyear
No. of transfers during last 7 years
(viii)4Iq|-fy t ut Category of parent
Name &address of local guardian (if any)
8. f4 faare Tei vg
Name & address of the school last attended with class
Whether it was aKendriya Vidyalaya, RecognisedUnrecognised School.
10. fard VÜA YRUJ4 Result of last examination
sii 1 frIa Percentage of marks.
11.fH AI 0 VÀNI fes Class to which admission is sought
12. fera ÀAIet EAIfaa faqy
Subject proposed to offer
Whether the transfer certificate is attached? Yes. .... No
14. I--U YHU-4A Hen a fafr
No. & Date of transfer certificate
15. HIG Y9T Mother tongue J RHome Town ...
16. RI faareit 4gd fa/Tf ?
Whether the student belongs to Scheduled Caste /Tribe
PT.0.
DECLARATION BY THE PARENTS
Ihereby declare that the above information furmished by me are correct to the best of my knowledge.
faerctu frqi à vfrqE (EMEN IIshall abide by the rules of the Vidyalaya.
Date Signature of Parents
FOR THE OFFICE USE ONLY
Certified that I have checked the application form and the relevant papers are found in order.
Admission Incharge
Please admit to class ... section after
checking the relevant papers and fealise the dues.
Date PRINCIPAL
afe f T Admitted to Cass ............... Section
Details of amount received:
faf
Fee Receipt No. Dated issued
Admission Fee Tuition Fee.
Pupils Fund Science Fee
Total Rs.
Name has been entered in the Class Attendance Register.
Class Teacher
Certified that allthe entries have been made in the Scholar's register and the dues have been realised by
Office / Class Teacher.
The S.R. No. of the student is Vol.
Date Office Incharge
FILE
Date PRINCIPAL
CHECK LIST OF DOCUMENTS
Fresh KVIArmy TC
|ADM Fom No. :. Original TC No.
Date of BirthCertificate: Dated: ..
Residence Proof: Duplicate Copy of TC:.
Blood Group:. Movement Order:
Affidavit (if any): RO Venification (if any):
Counter signed TC (V onwards): Service Certificate: