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 :
3 March 2022 at 9:19:14 am
Class in which admission is sought :
Class V
Student's Name :
TANISHKA DUTTA
Paste passport size colour photograph.
Gender :
Date of Birth :
Female
9/6/12
Caste/Community :
Religion :
OBC
Hinduism
Communication Address
House No :
City :
NORTH LAKHIMPUR
Locality :
State :
ASSAM
THAKURBARI ROAD, P. O- NORTH LAKHIMPUR
Pincode :
787001
School last attend :
GENIUS SR.SECONDARY SCHOOL
Percentage/Overall Grade :
A
Class last studied :
IV
Weakness/Disabilities :
Parrent's Information
Father's Name :
BHASKAR JYOTI DUTTA
Father's Phone No :
9854189973
Father's Profession:
BUSSINESS
Parent's Email ID :
Mother's Name :
MOUCHUMI LAHAN DUTTA
Mother's Phone No:
Mother's Profession:
9954541851
TEACHER
Examination Passed
University/Board
Year of passing
Total Marks
Subject taken
Admission Categtory:
For Secondary (Nursery to Class XI) Student
Subject 1 :
Subject 4 :
Subject 2 :
Subject 5 :
Subject 3 :
Subject 6 :
Local Guardian's Name :
Local Guardian's Contact No :
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 :
