Registration Form Class - IX 2024

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

THE HOLY ANGELS ENGLISH ACADEMY

Affiliated to CBSE, New Delhi 10+2


KANDARAN, CHANCHAL, MALDA-732139 Paste Passport
REGISTRATION CUM DATA SHEET size photograph
with name and
REG. NO. ADM. NO DATE : date printed on
TOTAL NO. WORKING DAYS : TOTAL NO. PRESENT DAYS : photograph
SESSION : 2024-2025 CLASS IX AISSE/AISSCE : AISSE
ALL ENTRIES MUST BE DONE IN CAPITAL LETTERS ONLY.

1. CANDIDATE’S NAME :
2. MOTHER’S NAME :
3. FATHER’S NAME :
0
* 4. DATE OF BIRTH IN FIGURES D DD D M MM M Y Y Y Y Y Y

5. DATE OF BIRTH IN WORDS


6. AADHAAR NO. (FATHER) :
AADHAAR NO. (MOTHER) :
AADHAAR NO. (STUDENT) :

7. MOBILE NO :
8. EMAIL ID :
9. SEX : M FOR MALE & F FOR FEMALE

* 10. CASTE (SC/ST/OBC/GENERAL) BLOOD GROUP


11. ONLY CHILD: YES / NO HANDICAPPED/BLIND/DEAF/DYSLEXIC/SEPATIC
12. ENG. LANG 2ND LANG. MATHS. MATHS. B SCI. S.ST. Info. Tech.

184 005/085 041 241 086 087 402


***
** EXAM. MEDIUM 1 1 1 1 1 1
RD
13. 3 LANG. IN VIII NATIONALITY
14. FATHER YEARLY INCOME OCCUPATION
15. MOTHER YEARLY INCOME OCCUPATION

** Exam Medium : ENGLISH=1/ HINDI=2 / BENGALI=3 *** 005 (BENGALI), 085 (HINDI)
Note : A photocopy of the certificate issued by the concerned office is must for Row no. 4 to 6 and 10.

We hereby declare that all the statements given above are true and correct. For any wrong or incorrect statement
we will be fully responsible.

Full Signature of Parents/Guardian Full Signature of the Student

Received the following documents-


Registration Card-no.
Admit Card- No.
Marks Sheet- No.
Migration Cert. No.

Character Cert. No.

You might also like