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STUDENT'S PERSONAL INFORMATION
Photo
Name :
*
First
Middle
Last
नाम (देवनागरीमा)
Date of Birth
*
:
Admission Sought in Class :
Gender :
Boy
Girl
Day Scholar
Boarder
Day Boarder
Place of Birth
*
:
FAMILY INFORMATION
Father's Name
Nationality
Permanent Address
Occupation
Temporary Address
Telephone
Name & Address
of Father's office
Designation
Mother's Name
Nationality
Current Address
[if different
than father's address]
Telephone
Name & Address
of mother's office
Designation
Telephone
Relatives of the student [if any ] studying
in Bhanubhakta Memorial School
Name
Class
Relation
PROVIDE NUMBERS
Elder Brothers
Elder Sisters
Younger Brothers
Younger Sister
STUDENT'S RESIDENTIAL INFORMATION
Address:
Convinient Bus Stop:
Telephone:
E-mail:
P.O. Box:
LOCAL GUARDIAN'S INFORMATION
Local Guardian Name:
Relation to the student:
Name of guardian office:
Telephone:
Address of guardian office:
Designation:
PREVIOUS SCHOOL'S INFORMATION
Name, address and telephone number of the school
the student is studying now
School Specialities
FINAL EXAMINATION
Not held yet
Complete but result awaited
Result published
EXTRA INFORMATION ABOUT THE STUDENT
Student's talent and interests:
Provide information about the students physical handicap, illness or regular medicine
Note:
*
indicates required field.
