Sindhudurg District Ex-Servicemen Association, Sindhudurg

Sindhudurg Sainik School & Jr. College, Amboli

At & Post – Amboli, Tal. Sawantwadi, Dist. Sindhudurg

Secondary Admission Form

Please fill in all details in block letters

Student Information

Surname *

First Name *

Father's Name *

Mother's Name *

📷 Student's Photo Student photo preview

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Student's Name (Devanagari) (auto-filled, editable)

Date of Birth (DD) *

Date of Birth (MM) *

Date of Birth (YYYY) *

Birth Place

Date of Birth (in words)

Age as on 1st June (years)

Age as on 1st June (months)

Aadhaar Card No.

Weight (kg)

Height (cm)

Mother Tongue

Blood Group

Religion

Caste

Any Major Illness / Disorder

Parent / Guardian Details

Local Guardian's Name

Guardian's Relation with Student

Permanent Address

Address

Pin Code

Telephone / Mobile

Current Address

Address

Pin Code

Telephone / Mobile

Father's Details

Occupation

Qualification

Total Monthly Family Income (₹)

Office Address

📷 Father's Photo Father photo preview

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Mother's Details

Occupation

Qualification

Total Monthly Family Income (₹)

Office Address

📷 Mother's Photo Mother photo preview

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Previous School Details

Name of School and Class Currently Studying

Medium

Student PEN Number

APAR ID

Student SARAL ID Number

School UDISE No.

Previous Class

Admission Preferences

Class Seeking Admission To *

Entrance Test Language *

Academic Year

Hobbies / Interests (if any)

Required Documents Upload

Medical Certificate *

Bonafide Certificate *

Aadhaar Copy (Front) *

Aadhaar Copy (Back) *

Declaration & Signature

I hereby declare that the above information is correct. I will be responsible & liable to any punishment if the information is incorrect. I have read the prospectus carefully. I assure you that I will abide by the rules & instructions mentioned in the prospectus. It is my entire responsibility to follow all the instructions displayed on the Notice-Board from time to time.

Place

Date

Student's Signature

Signature of Father / Mother / Guardian

For Office Use Only

NT (A, B, C, D)

OBC

SBC

Open

Ward of Ex-servicemen

Sindhudurg Sainik School & Jr. College, Amboli

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