Class to which admission is soughtSomaiya Vidhyavihar Bombay's

. KOPARGAON - 423601, Dist" : Ahrnednagar

APPLICATION FtrR AT}MNSSNffiru

Roll No. & Divn. -To be Filled in by the Schoo!

To,

The PrincipalShri Sharda English Mediumr SchoolKopargaonSir,

I request for admission of my ward to your sehool, I submit the following Partieulars of my ward.

1. Name of the Pupil

2. Father's Name . Mother's I\ame

3. Religion :

SIIRI SFHAR,$A HNGLISEfl MEg}NUft,K SCNEOOL

Surname

4. Sub Caste :

5. Mother Tongue :

6. Date of Birth :

7 . Place of Birth :

B. Previous School attended :

9. Standard Passed and when :

10. Class to which admission is sought :

11. Guardian's Name :

address : Tel No.

- I Further declare :

i) that I am able and willing to pay the prescribed fees in advance and meet promply allthe incidentalexpenses of the schoor if / my son / daughter / ward is admitted to the schooi,

-

ii) that whatever my religion is I have no objection to allowing my son / daughter / ward to attend theschool prayers and functions.

iii) that I know a terms notice or Term fees is necessary for withdrawal. I agree,

a) to, my son / daughter / ward being provided when urgenfly required by the school withnecessary kit, the cost charged to me in term bill.

b) not to ask for leave for my son / daughter / ward or visit the school against the regulations.

c) to pay school bill regularly and accept the rules, my son / daughter / ward as llable to be senthome if bill remain unpaid for a term.

d) I am aware that the deposit amount will be refunded only after five years of continuousadmission of my ward.

Yourfaithfully

Signature

Guardian

Particulars about the Guardian

1. Name in full :

(ln block letter beginning with surname)

2. Home Address :

3. Occupation:

Service (Private or Govt.)

whether Slate or Central

4. Business / Office Address :

5. Telephone No. (if any) off : Res.

6. Monthly lncome Rs.

Relationship of the Guardian with the pupil

Admit to std.

1) FEES RECEIVED school Rs.

2) Bus Rs.

3) Deposit Rs.

PRINCIPAL

General Register No.

Date of Admission

Class

Receipt No.

Receipt No.

Receipt No.

Date

lmportant lnstructions .

1) Applying for admission does not guarantee that admission will be granted.

2) Normally all pupils secking admission to std I onward will undergo a test in subject matter of theclasses.

3) This application must be accompanied by the Leaving Certificate issued by the school from whichthe pupil is coming. ln case the Leaving Certificate is not available, the exact circum stancesshould be mentioned.

4) ln case of freshers, application will accompany a satisfactory evidence of the date of birth anextract from the birth Register from Municipal or Village records.