application form for admission in class vi & ix

8/3/2019 Application Form for Admission in Class VI & IX

1/3

SAINIK SCHOOL BHUBANESWAR

(Delete whichever is not applicable)

DETAILS TO BE FILLED IN BY PARENT AS PER INSTRUCTIONS IN BLOCK LETTERS

1. Name of theCandidate

First Name Middle Name Last Name

2. Date of Birth

D D M M Y Y Y Y

3. Place of Birth

4. State of Domicile/Resident

5. Name of Father

6. Name of Mother

7. Name of Legal guardian**(if both father & mother are not alive)

8. Category SC ST DEF GEN

9. Occupation & Monthly Income of Parents/ Legal guardian.* If Service holder, indicate serving in Odisha Govt./ Central Govt. /Any other Department.

Relation OccupationIncome from

Pay +Allowance

Income from

Property

Income frombusiness (if

any)

Income from anyother sources (if

any)

TotalIncome per

month

Father

Mother

LegalGuardian

10. If father serving in Defence (Army / Navy / Air Force) or Ex-Servicemen:

Rank Number

Discharge certificate No. (for Ex-Servicemen) Date

APPLICATION FORM FOR ADMISSION IN CLASS VI / IX (FOR BOYS ONLY)

Paste PassportSize Photograph ofthe candidate duly

attested

For office use only

Application Form No.

1. Registration No. / B /

2. State of Domicile

3. Centre Medium

4. Category SC ST DEF GEN


2/3

11. Name and Address of theSchool in which the boy isstudying now

Pin

12. Address forCorrespondence

Pin

Tel No. E-mail

13. PermanentHome Address

Pin Tel No.

14. Centre of Examination(in order of preference)

1. 2.

15. Medium of Entrance Examination ENGLISH HINDI ODIYA

16. Are you prepared to send your

son to any other Sainik School ifallotted? IF YES, give names ofSainik Schools in order topreference

First Choice

Second Choice

Third Choice

17. Whether willing to educate him as FULL FEEPAYING STUDENT if scholarship is not available.

YES NO

18. DECLARATION:

(a) I solemnly declare that the particulars given above are TRUE to the best of my knowledge. It isfurther declared that this is the first attempt of my ward/son for All India Sainik Schools EntranceExamination.

(b) In the event of any of the above information being found incorrect at any time, I will have NOOBJECTION for the removal of my ward/son from the rolls of the school. In such case, I alsoundertake to refund forthwith the full amount of scholarship enjoyed by my son/ward in the SainikSchool on demand and without any representation as per the Sainik Schools Rules.

Place: ____________________

Date: ____________________

GENERAL INSTRUCTIONS/INSTRUCTION FOR FILLING UP THE FORM

Use only black ink ball pen for filling up the Form. No cutting should be made in the Form. Attach one extra copy of passport size photograph with the filled Form. Incomplete application forms will be rejected. No alteration in the given format will be accepted.

(Signature of the Parent/Legal Guardian)


3/3


(To be completed and sent along with Application Form)

TO BE FILLED IN BY PARENTS IN BLOCK LETTERS WITH BLACK INK BALL PEN

4. Name of theCandidate

First Name Middle Name Last Name

5. Date of Birth

D D M M Y Y Y Y

6. Name & Addressof Father /Mother / LegalGuardian

Pin Tel No.

___________________ ______

(Signature of candidate) (Signature of Headmaster of School/Gazetted Officer with office seal / stamp)

Note: The photograph must be attested by Headmaster with Office Stamp. In case boys who have not studied inSchool it should be attested by a Gazetted Officer.

--------------------------------------------------------------------------------------


ALL INDIA SAINIK SCHOOLS ENTRANCE EXAMINATION ____________

TO BE FILLED IN BY PARENTS IN BLOCK LETTERS WITH BLACK INK BALL PEN

4. Name of the

Candidate First Name Middle Name Last Name

5. Date of Birth

D D M M Y Y Y Y

6. Name & Addressof Father /Mother / LegalGuardian

Pin Tel No.

_________________(Signature of candidate)Note : Candidate must bring this Card for Entrance Test. This certificate is NOT valid in the absence of the SEAL/STAMP of Sainik School.

IDENTIFICATION CERTIFICATE

For office use only



2. Centre 3. Medium

Paste passport

size photographof the candidateduly attested byHeadmaster of

the School /Gazetted Officer(as applicable)

ADMIT CARD (CLASS VI / CLASS IX)

For office use only



2. Centre 3. Medium

Paste passportsize photographof the candidate

without attestation

application form for admission in class vi & ix

Documents