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:
Boarding
Date of Application :
27 March 2023 at 2:33:40 pm
Class in which admission is sought :
Class XI Arts
Student's Name :
Raj Rishi Medhi
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
30/3/06
Caste/Community :
Religion :
General
Hinduism
Communication Address
House No :
City :
500
Morigaon
Locality :
State :
ASSAM
Ward 2 pachatia
Pincode :
782105
School last attend :
Sanskriti Vidyapeeth
Percentage/Overall Grade :
Result awaited
Class last studied :
Class 10
Weakness/Disabilities :
Parrent's Information
Father's Name :
Krishna Kt Medhi
Father's Phone No :
9435164512
Father's Profession:
Former Associate professor
Parent's Email ID :
Mother's Name :
Simantee Medhi
Mother's Phone No:
Mother's Profession:
9401091895
House wife
Examination Passed
Class 10 Appeared
University/Board
CBSE
Year of passing
Result awaited
Total Marks
Subject taken
English, Assamese, Mathematics
Social science, Mathematics
Admission Categtory:
For Senior Secondary (XI & XII) Student
Subject 1 :
Subject 4 :
English
History
Subject 2 :
Subject 5 :
Political science
Sociology
Subject 3 :
Subject 6 :
Economics
Computer science
Local Guardian's Name :
Kalyan Medhi
Local Guardian's Contact No :
9435010802
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 :
