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 :
6 June 2022 at 4:01:53 am
Class in which admission is sought :
Class XI Science
Student's Name :
UPALAKSHYA HAZARIKA
Paste passport size colour photograph.
Gender :
Date of Birth :
Male
19/7/06
Caste/Community :
Religion :
OBC
Hinduism
Communication Address
House No :
City :
GUWAHATI
Locality :
State :
ASSAM
BARSAJAI
Pincode :
781029
School last attend :
Percentage/Overall Grade :
MAHARISHI VIDYA MANDIR PUBLIC SCHOOL
89
Class last studied :
Weakness/Disabilities :
CLASS 10
NIL
Parrent's Information
Father's Name :
Father's Phone No :
Father's Profession:
Parent's Email ID :
BHASKAR HAZARIKA
7576082616
LICI OFFICER (SERVICE)
NIL
Mother's Name :
Mother's Phone No:
Mother's Profession:
NABANITA HAZARIKA
6901618955
HOMEMAKER
Examination Passed
CLASS 10
CLASS 10
University/Board
CBSE BOARD
CBSE BOARD
Year of passing
2022
2022
Total Marks
200
200
Subject taken
5
5
Admission Categtory:
For Senior Secondary (XI & XII) Student
Subject 1 :
Subject 4 :
ENGLISH
CHEMISTRY
Subject 2 :
Subject 5 :
MATHEMATICS
COMPUTER SCIENCE
Subject 3 :
Subject 6 :
PHYSICS
PHYSICAL EDUCATION
Local Guardian's Name :
NIL
Local Guardian's Contact No :
NIL
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 :
