Form No

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GOKHALE MEMORIAL GIRLS’ SCHOOL Affiliated to CBSE, New Delhi, School Code-56125 1/1, Harish Mukherjee Road, Kolkata-700020, Phone-2223 3062

THIS FORM DOES NOT GURANTEE ADMISSION

Application for Admission to KG-I Session 2016-2017 1. Name of the Child( in block letters)…………………………………………….………………..

2. Date of Birth ……………………………………………………………….

3. a) Father’s Name ..…………………………………………………………………

b) Occupation of the Father…………….………………………………………………………..

c) Employer’s Name and Address……………………………………………………………….

…………………………………… ……………………………………………………………….

d) Mother’s Name …………………………………………………………………

f) Occupation of the Mother (if any) …………………………………………………………..

g) Monthly Income …………………………………………………………………

4. a) Residential Address …….…………………………………………………………….

…………………………………………………………………………………………………….

b) Contact No …………………………………………………………………..

5. Mother Tongue …………………………………………………………………..

6. a) School in which now reading ………………………………………………………………….

b) Class……………………… c) Medium of Instruction…………………………………………

7. a) Own sister studying in this School……………………………………………………………...

b) Name……………………………………………………………………………………………….

c) Class………………………………….. Section…………………………………………………..

Compulsory attachments photocopy of a) Birth Certificate b) Salary Certificate/IT Return

c) Trade License (If business).

For Office Use Only

FORM NO

Admit Class: PRINCIPAL

Date of Admission:

Photo

8. Guardian’s Declaration:

The statements made herein are to the best of my knowledge, all true. I am aware of

the rules and regulations of the School and I am satisfied that they are good and necessary for the

better education of my ward. I shall co-operate with the authorities in every respect to enable them

to educate my ward according to these, or such other rules and regulations, as they may be

framed from time to time. I shall be fully responsible for the regular payment of the monthly fees

and other charges of my ward. In all matters of dispute, the decision of the School authority will be

final.

_______________ ___________________

Date Signature

Letters of recommendation or pressure from any source whatsoever will not be considered.

…………………………………………………………………………………………………………. CUT HERE (Office Use Only)

Form No-

Application for Admission to class KG I Session 2016-2017

Rs. 500/-

Signature with

Office Seal