GURU RAM DASS ACADEMY LUDHIANA

CBSE AFFILIATION NO. 1630102 SCHOOL CODE-20097

MOTHER
STUDENT FATHER
(AFFIX LATEST PHOTO HERE)
(AFFIX LATEST PHOTO HERE) (AFFIX LATEST PHOTO HERE)

ADMISSION FORM
S.NO___________________
TO BE FILLED IN CAPITALS

A. STUDENT'S INFORMATION

NAME __________________________________________________________________________________________________________

CLASS __________________________________________________________________________________________________________
YEAR OF
ADMISSION __________________________________________________________________________________________________________

DATE OF BIRTH __________________________________________________________________________________________________________

GENDER __________________________________________________________________________________________________________

AADHAR CARD NO __________________________________________________________________________________________________________

PHONE NO __________________________________________________________________________________________________________

BLOOD GROUP __________________________________________________________________________________________________________

CATEGORY (✔)
ST OBC GENERAL
ONE APPROPRIATE SC

B. PARENT'S INFORMATION

FATHER'S NAME __________________________________________________________________________________________________________

QUALIFICATION __________________________________________________________________________________________________________

OCCUPATION __________________________________________________________________________________________________________

AADHAR CARD NO __________________________________________________________________________________________________________

EMAIL __________________________________________________________________________________________________________

PHONE NO __________________________________________________________________________________________________________

MOTHER'S NAME __________________________________________________________________________________________________________

QUALIFICATION __________________________________________________________________________________________________________

OCCUPATION __________________________________________________________________________________________________________

AADHAR CARD NO __________________________________________________________________________________________________________

EMAIL __________________________________________________________________________________________________________

PHONE NO __________________________________________________________________________________________________________

WHICH SOURCE HELPED YOU TO REACH US ?__________________________________________________________________________________

C. RESIDENTIAL ADDRESS
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________

D. SIBLINGS STUDYING IN THIS SCHOOL

1. NAME _________________________________ CLASS _________________ A.NO___________________

2. NAME _________________________________ CLASS _________________ A.NO___________________

3. NAME _________________________________ CLASS _________________ A.NO___________________

E. ENCLOSURES ATTACHED
1. TRANSFER CERTIFICATE FROM SCHOOL LAST ATTENDED
2. REPORT CARD FROM SCHOOL LAST ATTENDED
3. E PUNJAB CERTIFICATE FROM SCHOOL LAST ATTENDED
4. XEROX COPY OF AADHAR CARD ( STUDENT, FATHER, MOTHER, GUARDIAN)
5. MIGRATION CERTIFICATE ( THOSE SEEKING ADMISSION TO CLASS XI & XII THOSE MIGRATING FROM OVERSEAS)
6. XEROX COPY OF BIRTH CERTICATE
7. COPY OF EVIDENCE OF SC/ST CERTIFICATE
8. BLOOD GROUP CERTIFICATE
9. PASSPORT SIZE PHOTOGRAPHS (2)

F. DECLARATION
I/WE SUBMIT THAT THE ABOVE INFORMATION MADE AVAILABLE TO THE GRD ACADEMY LUDHIANA IS CORRECT TO THE BEST OF OUR
KNOWLEDGE. WE ALONE SHALL BE RESPONSIBLE FOR ANY ERRORS. IN CASE OF ANY INFORMATION FOUND FALSE, THE STUDENT LOSES THE
RIGHT TO ADMISSION.

FATHER'S
SIGNATURE MOTHER'S SIGNATURE

G. OFFICE USE ONLY

RECEIVED ( Rs.) ________________________VIDE CASH/CHEQUE/DD NO.__________________TOWARDS REGISTRATION & ADMISSION FROM _________________

RECEIPT NO___________________________ REGISTRATION NO. ___________________________ ACADEMY NO. ____________________

DATE OF RECEIPT OF APPLICATION ______________________________

REMARKS __________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________

ACCOUNS BRANCH PRINCIPAL/DIRECTOR