ADMISSION FORM


To
The Principal
Satish Chandra Memorial School
Pumlia (Chowrasta), Chakdaha
Nadia, west Bengal

PLEASE FILL IN THE FORM IN BLOCK LETTERS ONLY.
(*) - Marks are mandetory

Photo to
be
attached
*(Image width should be within 3.5x4.5 cm)

Dear Madam / Sir,

I request you favour for admiring my word to you school. I accept the terms mentioned in your prospectus and I am famishing the following particulars about my word.

Student's Detail


PARENT'S DETAIL


* (Image width should be within 3.5x4.5 cm)
* (Image width should be within 14x4 cm)
* (Image width should be within 3.5x4.5 cm)
* (Image width should be within 14x4 cm)

GUARDIAN'S DETAIL

(Fill up this section if student does not live with parent)

(Image width should be within 3.5x4.5 cm)
(Image width should be within 14x4 cm)

Subjects opted for


Stream opt: Science / Humanities / Commerce

LAST ACADEMICS DETAILS


Language Information


* (Image width should be within 14x4 cm)

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Verified by

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Date

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Signature of Parent * (Image width should be within 14x4 cm)

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Approved by