APPLICATION FOR ADMISSON 2020-2021 | Sri Adichunchanagiri Central School

Note

Fill this form in Capital letters only
All the columns are compulsory
Parents/Guardians are required to kindly go through the condition laid by the school before they fill in their applications for registrations of students and are required to strictly abide by all the terms and conditions stipulated by the school from time to time
MARK Y or N where ever applicable

CHECK LIST OF DOCUMENTS ENCLOSURE

BIRTH CERTIFICATE (Original)
TRANSFER CERTIFICATE (Original)
AADHAAR CARDS (Photo Copy of Candidate, Father & Mother)
CASTE CERTIFICATE OF CANDIDATE (Photo Copy)
INCOME CERTIFICATE (Photo Copy, if applicable)

ADMISSION DETAILS

Admission to Class *

Type of Admission *

Semester *

Medium of Instruction - English *

Hostel Facility *

Mother Tongue *

I Language English II Language Kannada III Language Hindi

PREVIOUS SCHOOL DETAILS (If Applicable)

Previous School Affiliation

Transfer Certificate No.

Transfer Certificate Date

Previous School Type

Previous School Name

Previous School Address

City / Town / Village

Taluk

District

PIN Code

STUDENT'S DETAILS

Name of the Student *

Name of the Father *

Father's Qualification *

Father's Occupation *

Name of the Mother *

Mother's Qualification *

Mother's Occupation *

Student's Aahdaar Number *

Father's Aahdaar Number *

Mother's Aahdaar Number *

Date of Birth *

Month

Day

Year

In Words *

Age *

Age Proof *

Upload Certificate *

Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf.

Religion *

Student's Caste *

Student's Caste Certificate No.

Father's Caste *

Father's Caste Certificate No.

Annual Income

Mother's Caste

Mother's Caste Certificate No.

Annual Income

Belongs to BPL

BPL Card No.

Bhagyalakshmi Bond No.

STUDENT'S / PARENT'S BANK A/c. DETAILS

Bank

A/c. No.

IFSC Code

Disability Child

Special Category

STUDENT'S CONTACT DETAILS

Address *

PIN *

Student's Mobile Number *

E-mail

Father's Mobile Number *

E-mail

Mother's Mobile Number *

E-mail

Payment Details

BANK DETAILS

Bank Name : Canara Bank, Krishnamurthypuram, Mysore
A/c. No.: 4966101000012
IFSC Code: CNRB0004966

Note: Upload deposited challan OR Enter NEFT details

Upload Deposited Challan

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf.

NEFT

Date

Month

Day

Year

Transaction ID

Declaration *

DECLARATION BY STUDENT & PARENT/GUARDIAN

(KINDLY READ THE FOLLOWING INFORMATION BEFORE YOU SIGN)

I do hereby undertake that I have filled up this form myself, best of my Knowledge & belief the particulars furnishes above are true. I also abide by all rules & regulations of the esteemed institution. I am aware that the management has the full authority to expel me for negligence in studies, misbehavior and continuous failure. I will not indulge in any act of ragging. I do undertake that I shall pay all the fees & dues to the instituion promptly on demand. I will send my ward to on time I agree to abide by the school timings and will not take my ward from the school during the school working hours. I hereby agree to settle any of the legal disputes in Mysore Court Jurisdiction only.