Sindhudurg District Ex-Servicemen Association, Sindhudurg

Sindhudurg Sainik School & Jr. College, Amboli

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

Admission Form - Junior College (Higher Secondary Section)

Please fill in all details in block letters

Admission Request

Admission For *

Academic Year *

Application No. (optional)

Application Statement

Student Information

Surname *

First Name *

Father's/Husband's Name *

Mother's Name *

Full Name (Devanagari)

Student Photo Student photo preview

No file selected

Date of Birth (DD) *

Date of Birth (MM) *

Date of Birth (YYYY) *

Age on 1st June

Date of Birth (in words)

Backward Caste Category

Sub-caste

Blood Group

Weight (kg)

Height (cm)

Student SARAL ID Number

School UDISE No.

Aadhaar Card No.

Father / Guardian and Address

Father's / Guardian's Full Name

Designation (if serving)

Annual Income

Permanent Address

Local Address

Permanent Pin

Local Pin

Tel. No. (Local)

Educational Information (SSC)

Std.

Name of Jr. College

Name of Board / University

Year of Passing

Seat No.

Total Marks

Percentage

Subjects Offered (Science Faculty)

Parent Occupation Details

Father's Occupation

Father's Qualification

Father's Total Monthly Family Income

Father's Office Address

Father's Latest Photo Father photo preview

No file selected

Mother's Occupation

Mother's Qualification

Mother's Total Monthly Family Income

Mother's Office Address

Mother's Latest Photo Mother photo preview

No file selected

Documents to be Attached

Proof certificate showing ward of Ex-servicemen signed and issued by District Sainik Welfare Board Officer.
Income certificate issued by Tahsildar in case of economically backward class cadets.
Statement of marks of Standard 10th.
Medical certificate about the physical fitness of the cadet.
Aadhaar card copy.
Caste certificate copy.
Passport size photo.
Migration certificate (for students from other state boards).
Affidavit on bond paper in prescribed format.

Ward of Ex-servicemen Certificate

Income Certificate

SSC Marksheet *

Medical Certificate *

Aadhaar Front Copy *

Aadhaar Back Copy *

Caste Certificate Copy

Passport Photo Copy

Migration Certificate

Affidavit Copy

Declaration and Office Use

I hereby declare that the above information is correct. I will be responsible and 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 and 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

Office Category

NT (A, B, C, D)

OBC

SBC

Open

Ward of Ex-servicemen

Student's Signature

Signature of Father / Mother / Guardian

Sindhudurg Sainik School & Jr. College, Amboli

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Sindhudurg Sainik School & Jr. College, Amboli

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