Øúlú@Sr. No. .................

d{kk ftlesa izos'k pkfg,@Class in which admission is sought for : ..........................

l=k@Session : ..........................

fo|kFkhZ dk orZeku

ikliksVZ lkbt iQksVksxzkiQ

;gk¡ fpidk,aPassport size

Photograph of thestudentADMISSION FORM

1- (a) fo|kFkhZ dk iwjk uke %

Name of the Child in full (in capital letters) : .....................................................................................................................

(b) fyax@Sex % iq:"k@Male L=kh@Female

2- tUe frfFk (vadks esa)@ Date of Birth :

'kCnksa esa @ In words ..................................................................................................................................................................

d{kk esa izos'k ds le; 31 ekpZ dks vk;q

Age of the student as on 31st March :

3- cPps dk jDr lewg @ Blood Group of the child .....................................................................................................................

4- D;k vki vuqlwfpr tkfr@vuqlwfpr tutkfr@vU; fiNMk oxZ@vkfFZkd :i ls detksj oxZ@fnO;kax@bdykSrh dU;k Js.kh ds vUrZxr gSA

;fn gk¡ rks izek.k&i=k layXu djsa @ Do you belong to SC/ST/OBC/EWS/DISABLED/Single Girl Child? attach certificate

fuEufyf[kr esa ls tks ykxw gks mls lgh ( ) djsa @ Mark ( ) whichever is applicable

5- ;w- vkb- ,Uk-@vk/kj dkMZ fooj.k @ Unique identification number /Aadhar card details _____________________________

6- ekrk@firk dk fooj.k @ Details of Parents : -

7- LFkkuh; vfHkHkkod dk irk (;fn dksbZ gks)%

Name & Address of local guardian (if any) : .................................................................................................................................

8- vfUre fo|ky; dk uke o d{kk tgk¡ i<+k gks%

Name & Address of the school last attended with Class : ............................................................................................................

fnu@ Day eghuk@Month o"kZ@Year

o"kZ@Year eghuk@Month fnu@ Day

lkekU; Js.kh vuqútkfr vuqútutkfr vU; fiNMk oxZ vkfFkZd :i ls detksj oxZ fnOa;kx bdykSrh dU;kGen. Cat. SC ST OBC EWS Disabled SG Child

ekrk @ Mother firk @ Father

uke@ Name (in capital letters)

jk"Vªh;rk@ Nationality &

iw.kZ vkoklh; irk ,oa nwjHkk"k la- @ Full Residential address with Telephone. No.

O;olk;@ Occupation

LFkk;h irk @ Permanent Address

okf"kZd vk; @ Annual Income in (₹)

dk;kZy; dk uke] iwjk irk nwjHkk"k la-

lfgr @ Name of Office and

full address with Telephone No.

(i)

(I)

(ii)

(iii)

(iv)

(v)

(vii)

iQkeZ tek djus dh vafre frfFk%Last date of Submission : ..........................

Sector-21, Noida, Dist. G.B. Nagar, U.P.-201301Tel. : 0120 - 2534064, 2538533Email : bbpsnd@yahoo.co.in, bbpsnd8@gmail.comWebsite : http//www.bbpsnoida.com

9- D;k fiNyk fo|ky; dsúekúf'kú cksMZ ls lEc¼rk izkIr Fkk%

Whether last school was CBSE affiliated : ......................................................................................................................................

10- ;fn fiNyk fo|ky; dsUnzh; ekè;fed f'k{kk cksMZ ls lEc¼ ugha gS rks lEcfU/r cksMZ dk uke n'kkZ;s %

If, the last school was not affiliated with CBSE, specify name of the Board ..................................................................................

11- (a) foxr ijh{kk ifj.kke @ Result of last examination : ........................................ (b) izfr'kr @ Result Percentage .................

12- fy, tkus okys izLrkfor fo"k; @ Subjects proposed to offer : 1. ............................................ 2. ..................................................

3. ............................................. 4. ............................................ 5. .............................................. 6. .............................................

13- D;k LFkkukUrj.k izek.k&i=k lyaXu gS\ gk¡@ ugha Vhúlhú tkjh djus dh frfFk

Whether the transfer certificate is attached YES/No : Date of T.C. .............................................

14- ekr`&Hkk"kk@ Mother tougue :................................................................x`g uxj@ Home town : ...........................................................

vfHkHkkod iQkeZ tek djrs le; fuEu vfHkys[kksa dks iQkeZ ds lkFk layXu djsa %

LIST OF SUPPORTING DOCUMENTS TO BE ATTACHED BY THE PARENTS AT THE TIME OF SUBMITTING THE FORM :

1 cPps dk tUe izek.k i=k (;fn tUe izek.k i=k iapk;r }kjk tkjh fd;k x;k gks rks og [kaM+ fodkl vf/dkjh (chñ Mhñ vksñ) rFkk eq[; fpfdRlkvf/dkjh ls izfrgLrk{kfjr fd;k x;k gks)A

(i) Birth Certificate of the Child (if from Panchayat, it should be countersigned by the BDO and CMO of the area).

2 vkjñ lhñ vkbZñ }kjk tkjh fpfdRlk izek.k i=k (dsoy fo'ks"k vko';drk ik=k cPp+ksa ds fy;s)A

(ii) Medical Certificate issued by RCI (Only for Children With Special Needs).

3 cPps ds ekrk rFkk firk dk 'kSf{kd izek.k i=k (Ldwyh f'k{kk] Lukrd ,ao ijkLukrd f'k{kk)A

(iii) Pass Out Certificates of Mother & Father (School Level, Graduation Level and Post Graduation Level)

4 fuokl izek.k i=k (jk'ku dkMZ] oksVj igpku i=k] VsyhiQksu vFkok fctyh fcy)A

(iv) Proof of Residence (Ration Card / Voter I-Card/Telephone/Electricity Bill).

5 fo|ky; esa f'k{kk izkIr dj jgs lxs HkkbZ&cgu dk lR;kfir izek.k (vè;;ujr HkkbZ&cgu ds ifjp; i=k dh iQksVks izfr rFkk fjiksZV dkMZ)A

(v) Proof of Sibling (Attested copy of the I-Card and Report Card of Sibling).

6 fo|ky; dk iwoZ Nk=k (d{kk 12oha dh lR;kfir ekdZ 'khV)A

(vi) Proof of School Alumni (Attested copy of Class-XII Mark Sheet).

7 cPps ds Vhdkdj.k ls lEcaf/r fpfdRldh; izek.k i=kA

(vii) Medical Fitness Certificates outlining the immunisation shots given to the child.

8 vfHkHkkod dk igpku izek.k i=k (ekrk ,oe~ firk)A

(viii) Parents' ID Proof (Mother & Father)

9 vfHkHkkod dk iSu dkMZ (ekrk ,oe~ firk)A

(ix) Parents' PAN Card (Mother & Father)

10 vuqlwfpr tkfr] tutkfr] fiNM+k oxZ] rFkk vYi vk; oxZ (lEcaf/r vf/d`r izek.k i=k)

(x) Relevant authentic certificate (SC/ST/OBC/EWS)

11 cPps ds vk/kj dkMZ dh iQksVks izfrA

(xi) Aadhar Card of the child.

eSa ,rn~nkjk ?kks"k.kk djrk@djrh gw¡ fd esjs }kjk nh x;h mi;qDrZ lwpuk esjh tkudkjh esa lR; o lgh gSaA

I hereby declare that the above information furnished by me is correct to the best of my knowledge & belief.

eSa fo|ky; ds fu;eksa ls izfrcn jgwx¡k@jgw¡xh@ I shall abide by the rules of the Vidyalaya.

frfFk@Date:.................. ekrk&firk ds gLrk{kj@Signature of Parents

DECLARATION BY THE PARENTS

FOR THE OFFICE USE ONLY

1- izekf.kr fd;k tkrk gS fd eSusa vkosnu&i=k vkSj lc¼ dkxtkrksa dh tk¡p dj yh gSA

Certified that I have checked the application form and the relevant papers are found in order.

izos'k izHkkjh @ Admission Incharge

2- lac¼ dkxtkrksa ds fujh{k.kksaijkUr ,oe~ 'kqYd izkIrksijkUr d`i;k d{kk oxZ esa izos'k nsaA

Please admit to class .............................. Section ............................. after checking the relevant papers and realise the dues.

frfFk@ Date : .................... izkpk;Z@ PRINCIPAL

Admitted to Class ....................... Section ........................... Fee Receipt No. ..................................................................

Dated ......................................... Issued.

Details of amount received : Admission Fee ..........................................

Tution Fee ..........................................

Any other fee ..........................................

Computer Fee ..........................................

TOTAL ..........................................

d{kk mifLFkfr iftadk esa uke ntZ fd;k x;kA

Name has been entered in the Class Attendance Register : ( ) Yes No

izekf.kr fd;k tkrk gS fd leLr izo`f"V¡;k Nk=k iaftdk esa ntZ dh xbZ ,oa 'kqYd dk Hkqxrku bl dk;kZy; }kjk izkIr fd;k x;kA Certified that all the entries have been made in the Scholar's Register and the dues have been received.

fo|kFkhZ dh Nk=k ith;u l[a;k (,úMCywúvkjú) Registration No: of the Student in Admission Withdrawal Register is ...................... , ........................... Vol. ............................

frfFk@ Date : .................... dk;kZy; v/h{kd@ Office Suptd.

cksMZ }kjk fu/kZfjr ekudksa ds vuqlkj Nk=k ds vkosnu dks izos'k gsrq Lohdkj djrs gq, vuqeksfnr fd;k tkrk gSAAdmission considered by the school is in accordance with the provisions of the Board & approved.

frfFk@Date:.................. gLrk{kj izkpk;Z@dk;kZy; dh eksgj Sign. of Principal/Official Seal

ekrk@firk dk C;kSjk @ Details of Mother/Father