B.L. Central Public Sr. Sec. School Kunihar Phone: 01796-260031
( Affiliated to H.P Board of School Education Dharamshala under No. 2012-8201)
[ Managed by G.S. Education Society Kunihar School Code -4275]
Session: 2016-17
Website: www.blcpskunihar.com E-Mail –
APPLICATION FOR ADMISSION
______
School Registration No.______Dated:______
Name of the Student : ------
Class of Admission : ------
Father’s Name :------
Mother’s Name :_------
Guardian’s Name :------
Date of Birth (In Figures) : ------
(In Words ) : ------
Place of Birth : ------
Nationality : ------
Sex Male / Female: ------
Income ( Yearly) :------
Last school attended ______
Whether recognized /unrecognized ______
Total attendance in the last school ______
Medium of instruction in the last school ______
Permanent Address :______
______Ph. No______
Correspondance Address :______
______Ph. No.______
Signature of Parents / Guardian ______
PRINCIPAL
With seal of the school
B.L.Central Public Sr. Sec. School Kunihar
Session: 2014-15
(Affiliated to H.P. Board of School Education Dharamshala)
APPLICATION FORM FOR ADMISSION TO PLUS ONE CLASS(+2)
(FOR OFFICE USE ONLY)
Admission No……………….. Receipt No………………………
Date of Admn………………… Section Alloted……………….
Group Offered : : Commerce / Science
To
The Principal
B.L. Central Public Sr. Sec. School,
Kunihar Distt: Solan (H.P).
1. Name of applicant ( in Block Letters )………………………………………….
2. Father’s Name (English)…………………(Hindi)……………………………..
3. Mother’s name (English)…………………(Hindi)…………………………….
4. Date of Birth in Figures……………….In words………………………………
5. Local Address for correspondence……………………………………………..
……………(Phone No. if any)…………….
6. Permanent Address……………………………………………………………..
7. Father’s Guardian’s Occupation………………………………………………..
8. Whether belongs to I.R.D.P. Family Yes/No
9. Whether belongs to Scheduled Cast/S.C./OBC/Gen.
10. Name of Institution Last Attended……………………………………………..
11. Date of Leaving Last Institution……………………………………………….
12. Group Offered:
a) Non Medical:- (1) English (2) Physics (3) Chemistry (4)Mathematics (5) Any one out of Biology/I.T. Education/Physical Education/Home Science.
b) Medical:- (1) English (2) Physics (3) Chemistry (4) Biology (5) Any one out of Mathematics/ Information Practices/Physical Education..
c) Commerce- (1) English (2) Economics (3) Accountancy (4) Business Study
(5) Any one out of Mathematics/ Information Practices / Physical Education.
(13) (a) What games do you play?
b) Name of the cultural activities in which you participated?
14. Certificates to be attached:
1) Character certificate from the Head of Institution last attended in original.
2) Certificate of having passed the lower qualifying examination (Attested copy)
3) School living certificate/ Transfer Certificate in Orginal.
15 ACADEMIC RECORD:
Previous Exam Passed / R.No. / Name of School / Name of Board / Year of Passing / M. Marks / MarksObtained / Division / Percentage
of Marks
Matric
Certified that the particulars given above are correct. In case of wrong information, the responsibility will rest
upon the Parents/Guardian.
Signature of candidate Signature of Father/Guardian
Signature of the committee 1. 2. 3.
With Remarks
Admitted/Rejected/
Provisionally admitted Approval of the Principal
UNDERTAKINGI…………………………Father/Guardian of…………………………
……….Who is taking admission to class ………….of the institution undertake that:-
1. My son/daughter/will remain regular in studies & attendance and come to school in school uniform.
2. He will pay the fees and other dues of the school regularly.
3. He will abide by the school rules and regulation.
4. He will not take part in any anti- social, anti-national or subversive activities.
5. He will given no cause of complaint to any teacher or any member of the staff.
6. He will not absent himself from any test or examination conducted by school or any subject teacher.
7. HE will be eligible for appearing in 10+1 examination, provided he completes 75% of lectures delivered.
Address:
______
______Signature of Father/Guardian