A P P L I C A T I O N by 8tQO827

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									                                      ADMISSION STRICTLY FOR BOYS ONLY

 Form No ______________                                                              Roll No _____________/GK
(To be filled by the School Office)                                                   Category ____________
                                                                                     (To be filled by the School Office)

                                                                                     Checked by ____________

                    SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND – 263156
                      APPLICATION FORM FOR ADMISSION : ACADEMIC YEAR 2012-13

              READ INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE APPLICATION FORM
              FILL ALL COLUMNS IN LEGIBLE CAPITAL LETTERS USING A4 SIZE WHITE PAPER
                                                                AND
1.    Class for which admission is sought - (VI or IX) _________
                                     Day              Month           Year                       Latest Passport size
2.    Date of Birth                                         P                                   photo to be pasted and
                                                                                               attested by the Head of
3.    Name of the boy in Full (CAPITAL LETTERS ONLY)                                           the institution where the
                                                                                                 student is presently
                                                                                                       studying.

4.    Father’s Full Name (CAPITAL LETTERS ONLY)



                                                                                                   LAST DATE FOR
5.    Mother’s Full Name (CAPITAL LETTERS ONLY)                                                   SUBMISSION OF
                                                                                                 APPLICATION FORM
                                                                                                     10 DEC 2011
                                                                                                    (SATURDAY)
6.    Full Name of the Guardian (CAPITAL LETTERS ONLY) (If Parents are not alive)                EXAMINATION DATE
                                                                                                     08 JAN 2012
                                                                                                      (SUNDAY)


7. Nationality ____________     8. State of Domicile (Parents) ______________
9.      Please Tick () your category in the box      General          Defence            SC             ST
        (a)      If you belong to SC/ST Category, please specify your Sub Caste/Tribe_____________
                 (Attach photo copy of caste certificate issued by the competent authority).
        (b)     If you belong to DEFENCE Category, please furnish the following details :-
      Whether serving or      Service      Rank            Date of             Date of         Name of the Record
      Ex-service              Number                     Enrolment/          Discharge               Office
      personnel                                         Commission

10.     Monthly Income from all sources Rs ______________
11.     Occupation of Father / Mother/ Guardian ______________/______________/______________
        (Government/ Private Service/Business/Farming etc. to be specified).
      Bank Draft No              Date          Amount           Drawee Branch        Issuing Branch Bank Name


(DEMAND DRAFT IN FAVOUR OF PRINCIPAL, SAINIK SCHOOL GHORAKHAL PAYABLE AT STATE BANK OF
INDIA BHOWALI [BRANCH CODE 01352] TO BE DRAWN/MADE AT STATE BANK OF INDIA ONLY).

13.     Permanent Address:-




                                                                                 P    I   N
                                                             -2-
14.     Address for Correspondence:-




                                                                                     P   I    N

15.     Land Line No. with STD Code ___________________, Mobile _________________ & _________________,
        e-mail ID if any _________________________

16.     Choice of Examination Centre    -         First            -   ___________________________________
        (Please see instruction Sl. No 7)         Second           -   ___________________________________
                                                  Third            -   ___________________________________

17.     Has your son/ward appeared in entrance examination earlier? If yes, please give the following details:-

                           Name of the Centre                               Year             Roll Number      Class



18.      (a)      The parents who are willing to admit their son/ward in other Sainik Schools as Full Fee Payee
Candidate in case he is qualified, but low in merit for admission to Sainik School Ghorakhal, are to give an undertaking
that they are willing to admit their son/ward as Full Fee Payee candidate in other Sainik Schools.   Yes/No _______

        (b)      If yes, give names of three choices of Sainik Schools in order of preference. (This will be considered
        only if vacancy exists in other Sainik Schools). (Please see serial No 14 at page No 5).

            Choices :-           (i)     Sainik School ______________________________
                                 (ii)    Sainik School ______________________________
                                 (iii)   Sainik School __________________________________
19.     Special achievement in sports and other fields :




                                            DECLARATION BY THE PARENT
I solemnly declare that the particulars furnished above are true and no information has been concealed. In case any of
the above information found incorrect at any time, I will have no objection for removal of my son from the school and
refund the scholarship amount if availed. Orders and Instructions given/issued from time to time by the Principal will be
binding on me.

Date _____/______/ 2011                                            __________________________________________
                                                                   Signature and Name of the Father/Mother/Guardian
Place ______________________
Check list of documents to be attached:-

(a)     Application Form should be completed and filled-in all respects. Incomplete Application Form will be summarily
        rejected and Registration Fee once paid will not be refunded.

(b)     Duly filled Hall Ticket & Identification Card (at page 3) to be attached with the Application Form.

(c)     Demand Draft for Gen/Defence Category Rs 500/-, for SC ST Category Rs 350/- and Caste Certificate, where
        ever applicable.

(d)     Name of the candidate alongwith Father’s name to be written on the reverse of Demand Draft.
                                                           -3-

                                            HALL TICKET
       SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156
                                FOR ENTRANCE EXAMINATION 2012-13
      Centre of Examination ______________________________________             Roll No ___________/GK
      (To be filled by the Office)

      (TO BE FILLED BY PARENT IN BLOCK LETTERS AND SENT ALONGWITH APPLICATION FORM)

1.    Name of the boy in full ____________________________________________________________

2.    Father / Guardian’s Name__________________________________________________________

3.    Class for which admission is sought – (VI / IX) ______     4. Date of Birth _______/__ _ __/_______

4.    Correspondence Address :-                                                  Latest Passport size
                                                                                  photo to be pasted
                                                                                  and attested by the
                                                                                 Head of the institution
                                                                                  where the student is
                                                                                  presently studying.
                                    P   I    N



5.    Signature of the Boy


SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION                           Signature of the Issuing Officer
                                                                         Sainik School Ghorakhal, Nainital
CENTRE, ROLL NUMBER AND SEND HALL TICKET TO THE
CANDIDATE FOR APPEARING IN ENTRANCE EXAMINATION

                                P
                                            IDENTIFICATION FORM
                                        FOR ENTRANCE EXAMINATION 2012-13
                        SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156

     Centre of Examination ____________________________________                    Roll No _________/GK
     (To be filled by Office)
     (TO BE FILLED BY THE PARENT IN BLOCK LETTERS AND SENT ALONGWITH APPLICATION FORM)


1.    Name of the boy in full       _________________________________              Latest Passport size
                                                                                    photo to be pasted
2.    Father’s/Guardian’s Name ___________________________________                  and attested by the
                                                                                   Head of the institution
3.    Class for which admission is sought - (VI / IX)   ________                    where the student is
                                                                                    presently studying.
4.    Date of birth   ______/______/________

5.    Signature of the Boy

         SAINIK SCHOOL GHORAKHAL WILL ALLOT
                                                                        Signature of the Issuing Officer
        EXAMINATION CENTRE, ROLL NUMBER AND
                                                                        Sainik School Ghorakhal, Nainital
               RETAIN IT FOR OFFICIAL USE
                                                    -4-
                 SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156
                                             INSTRUCTIONS
        Please read the following instructions carefully before filling up the Application Form
1.      Sainik School Ghorakhal, Nainital is one amongst the 24 Sainik Schools administered by the Sainik
Schools Society, an autonomous body functioning under Ministry of Defence. These schools were
established with the primary aim of preparing boys for entry into Defence Services through National Defence
Academy, Khadakwasla and to bring public school education within the reach of common people.

2.     Vacancies.     For class VI - 60 & for class IX - 30 (Approximate).

NOTE : Vacancies in both the classes are to increase for both the classes subject to approval of Sainik
Schools Society, Ministry of Defence, New Delhi.

3.       Reservation. 67% for domicile of Uttarakhand and 33% for all other States & Union Territories. Out
of total vacancies, 15% of the seats are reserved for SC, 7.5% for ST categories and 25% of the remaining
seats in each category for children of Defence service personnel and ex-servicemen.

4.     Date of birth. Applications are invited as per the given format from boys born between dates given
as under for the academic year 2012-13, for appearing in All India Sainik Schools Entrance Examination to
be held on 08 Jan 2012 :-

       (a)    For Class VI :        02 July 2001 to 01 July 2002 (both dates inclusive)
       (b)    For Class IX :        02 July 1998 to 01 July 1999 (both dates inclusive)
5.     Registration Fee. Application has to be attached with a demand draft for Registration fee (non-
refundable) as under :-

       (a)    General / Defence Category                          -          Rs   500/-.
       (b)    Scheduled Caste/Scheduled Tribes Category           -          Rs   350/-.

 Note :   The State Bank of India demand draft may please be made in favour of The Principal, Sainik
School Ghorakhal, payable at State Bank of India Bhowali Branch (Code No. 01352). Name of the
candidate alongwith father’s name to be written on the reverse of demand draft. Cheques, Indian Postal
Oders, Pay Order etc are not acceptable by the School. Registration fee paid once will not be refunded
under any circumstances.

6.     Scheme of Written Examination. Examination comprises of two papers namely Mathematics &
Language and Intelligence Test of V class standard for entry to VI class and two papers namely Mathematics
& Science and English & Social Studies of VIII class standard for entry to IX class. The medium of Entrance
Examination for class VI will be in Hindi or English but for class IX it shall be in English only.

7.      Examination Centres. Subject to availability of sufficient candidates, written examination Centres
will be at Almora, Bareilly, Dehradun, Ghorakhal, Ghorakhpur, Kotdwar, Lucknow, Pithoragarh,
Roorkee, Srinagar (Garhwal), and Udham Singh Nagar. Allotment of examination Centre will be at the
discretion of the school.

8.      Last Date for submission of Application Form. Applications completed in all respects alongwith
Hall Ticket, Identification Form & Demand Draft towards Registration Fee must reach the ‘Principal, Sainik
School Ghorakhal, PO : Ghorakhal, Distt. Nainital, Uttarakhand, PIN - 263156 on or before 10 Dec 2011.
Incomplete applications will be rejected and no communication will be entertained in this respect.
Registration fee once paid is not refundable under any circumstances.

9.     Date of Entrance Examination. All India Sainik Schools Entrance Examination will be held on
08 Jan 2012 (Sunday) at the Centres given on Page 4 at serial No 7 (except Sainik School Nagrota J & K).


                                                                                                   ………5
                                                       -5-

10.    Fee.     Total Fee including boarding, lodging and other charges is approximately Rs. 90,000/- for
the year 2012-13. Fee may be increased as per Sainik Schools Society existing rules.

11.     Scholarship. Scholarships are granted by the Government of Uttarakhand for the students of
Uttarakhand domicile, based on Parent’s Income & Merit. Boys who are admitted against the 25% quota
reserved for children of Defence service personnel/ex-servicemen including those of Uttarakhand domicile
are eligible for a limited number of scholarships granted by Ministry of Defence. However, diet subsidy is
provided for all Uttarakhand domicile boys including Defence Category children. In addition, all the boys
admitted except the Day Scholars (Staff Children) are provided with some financial assistance by Ministry of
Defence. Continuation of Scholarship once granted is subject to income of parents, discipline and academic
performance of cadets.

12.     Repeater not allowed. A boy can appear only once in the Entrance Examination for a particular
class for admission in Sainik Schools. For all disputes the legal jurisdiction will be at Nainital only.

13.      Application Form can also be downloaded from school’s website www.ssghorakhal.org.

14.      Name of the all Sainik Schools.

 S No                         Address                             S N0                   Address
   (a)    Sainik School Purulia, West Bengal                      (o)     Sainik School Imphal, Manipur
  (b)     Sainik School Kazhakootam, Kerala                       (p)     Sainik School Punglwa, Nagaland
  (c)     Sainik School Bijapur, Karnataka                        (q)     Sainik School Kodagu, Karanataka
  (d)     Sainik School Korukonda, Andhra Pradesh                 (r)     Sainik School Tilaiya, Jharkhand
  (e)     Sainik School Amaravathinagar,Tamil Nadu                (s)     Sainik School Chittorgarh, Rajasthan
  (f)     Sainik School Sujanpur Tira, Himanchal Pradesh          (t)     Sainik School Balachadi, Gujarat
  (g)     Sainik School Nagrota, Jammu & Kashmir                  (u)     Sainik School Satara, Maharastra
  (h)     Sainik School Kapurthala, Punjab                        (v)     Sainik School Rewa, Madhya Pradesh
  (j)     Sainik School Kunjpura, Haryana                         (w)     Sainik School Rewari, Haryana
  (k)     Sainik School Gopalganj, Bihar                          (x)     Sainik School Nalanda, Bihar
  (m)     Sainik School Ambikapur Chattisgarh                     (y)     Sainik School Bhubaneshwar, Odisa
  (n)     Sainik School Goalpara, Assam                           (z)     Sainik School Ghorakhal, Nainital, UK

15      Courier services are not available from Nainital/Haldwani to Sainik School Ghorakhal and school will
not be responsible by Courier mail. Please send all mail by Post/Speed Post.

16      One box each to be left blank after First name and Middle name in the Application Form at Serial No
3 to 6 and in Hall Ticket at Serial No 4 respectively.

17       Parents are requested to fill the Application Form only for Boys not for Girls


                                                                         Principal
                                                                         Sainik School Ghorakhal,
                                                                         PO : Ghorakhal
                                                                         Distt. Nainital, Uttarakhand – 263156

                                                                         Telephone 05942- 220045 & 220051
                                                                         website : www.ssghorakhal.org
                                                                         Query Timings : 0900 hrs to 1200 hrs,
                                                                         1500 hrs to 1700 hrs (except Saturday,
                                                                         Sunday and holidays)


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