Admission Form for session:- 2022-2023
Form Number - SAIRNS/2022-23/...................
Sai RNS Academy
AN ISO 9001:2015 CERTIFIED INSTITUTE
AFFILATED TO CBSE(DELHI) SR. SECONDARY SCHOOL
AFFILATION NO: 230051
Student Code :
Type of Enrollment:
Day Scholar
Date of Application :
4 April 2023 at 9:25:07 am
Class in which admission is sought :
Class XI Science
Student's Name :
Ayansh Raj
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
21/8/08
Caste/Community :
Religion :
OBC
Hinduism
Communication Address
House No :
City :
50
Munger
Locality :
State :
Bihar
Kesuli , Post:Gauravdih,
Pincode :
811213
School last attend :
Dav Public School
Percentage/Overall Grade :
93%
Class last studied :
10th
Weakness/Disabilities :
no
Parrent's Information
Father's Name :
Bipin Kumar Singh
Father's Phone No :
7667712898
Father's Profession:
Government Teacher
Parent's Email ID :
Mother's Name :
Kanchan Devi
Mother's Phone No:
Mother's Profession:
9709832794
Homemaker
Examination Passed
BA
+12 Home science
University/Board
Nalanda University
Rupmini College
Year of passing
will be communicated
will be communicated
Total Marks
will be communicated
will be communicated
Subject taken
History
Home science
Admission Categtory:
For Senior Secondary (XI & XII) Student
Subject 1 :
Subject 4 :
Physics
Chemistry
Subject 2 :
Subject 5 :
English
Computer science
Subject 3 :
Subject 6 :
Mathematic
Ph Education
Local Guardian's Name :
Bipin Kumar Singh
Local Guardian's Contact No :
9709832794
Enclosures: (Please tick)
Parents attested photo copy of Birth Certificate issued by Municipal Council.
Transfer Certificate in original issued from the previous school (if applicable).
Parents attested photo copy of progress report issued from the previous school. (If applicable)
Category/Caste Certificate (If applicable)
Migration Certificate. (If applicable)
Parents ID Proof (Voter/PAN/Aadhar any two of these)
DECLARATION
I/We wish to apply for admission of the above mentioned candidate to SAI RNS ACADEMY, Guwahati. I/We do hereby agree to abide by the terms of the prospectus, the rules and regulations of the School and the schedule of fees and payments as amended by the School at its discretion from time to time. I/We agree to permit photographs of my child/children to be used for the educational promotion of the School. I/We agree to accept the School’s decisions in regard to student management, welfare and discipline. I/We hereby sign below as the legal custodian/s of the above-mentioned applicant having read and understood all documentation pertaining to this enrolment process and further agree that the School reserves a discretionary right to either accept or reject this application without explanation
PLEASE NOTE THAT ISSUE OF ADMISSION FORM DOES NOT ENSURE ADMISSION
Signature (Parent/Guardian)
Date :
FOR OFFICE USE ONLY
Name of Student:
Class in which admission is sought :
[ ] Admission Granted [ ] Not granted
Remarks :
Admission Co-ordinator's Signature
Date:
Signature of Principal
Date :
