admissionform_Hostel by xiuliliaofz

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									            SANDIPANI GURUKUL
                                   (ENGLISH MEDIUM)
                                          MANAGED BY
             BHARATIYA SANSKRUTI SAMVARDHAK TRUST
            (Promoted and Headed by Pujya Rameshbhai Oza (Pujya Bhaishri))
                      Opp. Aerodrome, Ranghavav ( Chhaya), Porbandar – 360 578
                               Tel. – (0286) 3290310 Fax – (0286) 2222912
                      E-mail – gurukul@sandipani.org Website – www.sandipani.org


                  HOSTEL ADMISSION FORM
                         (To be filled in Block Letters)
1.      Name of the Student _______________________

2.      Mother’s Name _____________________________

3.      Father’s Name ______________________________                        Photograph

4.      Surname ___________________________________

5.      Date of Birth :
        (in figure)     _____________________________________________________________

        (in words) ______________________________________________________________

6.      Place of Birth : ______________________________

7.      Religion & Caste : ___________________________

8.      Mother Tongue : _____________________________

9.      Present Address : ___________________________________________________________

      _______________________________________________________________________________

      Phone No.:_____________________________________ Pin Code : ____________________

10.     Permanent Home-town Address : ___________________________________________

      ______________________________________________________________________________

      Phone No.:_____________________________________ Pin Code : ___________________

11.     Standard in which admission is granted : ___________________________________

12.     Full Name & address of Local guardian : ____________________________________

        ____________________________________________________________________________

      Phone No.:_____________________________________ Relationship : ________________

13.     Persons to be contacted in case of emergency : ______________________________

           A. _________________________________ Phone No. ________________________

           B. _________________________________ Phone No. ________________________
14.      Blood Group __________________________________ Allergy, if any_______________

15.      Special Remarks __________________________________________________________

  I have read and understood the rules, regulations and instructions of the Sandipani Gurukul Hostel,
and I promise to strictly abide by them, I will maintain the discipline and dignity of the School, report
on time after holidays and always follow the instructions of my teachers.

                                                                                    .........................................
                                                                                    Signature of Student
                                                                                    Date :

 Having read the rules, regulations & instructions of the Sandipani Gurukul Hostel, I assure &
undertake that the behavior of my ward conforms to the conduct and will be in concurrence with the
standard & ideology of the school. I shall pay the school fee in time and will come to school whenever
needed in connection of my ward.
  All the entries made in this form are final and as per the Birth Certificate and are thoroughly checked
by me and no request of any kind of change will be made in future.

                                                                                 ................................................
                                                                                Signature of Parent / Guardian
                                                                                Date :
__________________________________________________________________________________

  I agree to be the local guardian of _____________________________________

Who is being admitted in Sandipani Gurukul [English medium] Hostel and who is a student of Std.
_______ at Sandipani Gurukul [English medium]. In any case of emergency I can be contacted any
time and I will accept full responsibility of the student.

                                                                       ___________________________
                                                                       Signature of Parent / local Guardian
                                                                       Date :


                                          FOR OFFICE USE ONLY

Shri ________________________________________ has been granted admission in
std. _______ at Sandipani Gurukul [English medium]

                                                                         ___________________
Date: .............................                                            Principal
                                                              Sandipani Gurukul [English medium]



                          Details of Fees Received and Grant of Admission

A. Student                 :
B. Fees Received :                    Rs………………… Date ……………………….
C. Standard                :
D. Whether Admission to Hostel ........................................................ Yes / No
E. General Register No.......................   Page No....................



Signature of Principal                                            Signature of Hostel Superintendent
______________________________________________________________________
Remarks :
                         Details of Fees Received and Grant of Admission

A. Student               :
B. Fees Received :                    Rs………………… Date ……………………….
C. Standard              :
D. Whether Admission to Hostel ........................................................ Yes / No
E. General Register No.......................   Page No....................



Signature of Principal                                            Signature of Hostel Superintendent
______________________________________________________________________
Remarks :




                         Details of Fees Received and Grant of Admission

A. Student               :
B. Fees Received :                    Rs………………… Date ……………………….
C. Standard              :
D. Whether Admission to Hostel ........................................................ Yes / No
E. General Register No.......................   Page No....................



Signature of Principal                                            Signature of Hostel Superintendent
______________________________________________________________________
Remarks :




                         Details of Fees Received and Grant of Admission

A. Student               :
B. Fees Received :                    Rs………………… Date ……………………….
C. Standard              :
D. Whether Admission to Hostel ........................................................ Yes / No
E. General Register No.......................   Page No....................



Signature of Principal                                            Signature of Hostel Superintendent
______________________________________________________________________
Remarks :

								
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