H.V.M. CONVENT SR. SEC. SCHOOL, LUDHIANA

(AFFILIATED TO THE CENTRAL BOARD OF SECONDARY EDUCATION NEW DELHI)

AFFILIATION NO. 1630652, SCHOOL CODE 20632

Karamsar colony, New Subash Nagar, Basti Jodhewal, Ludhiana (Pb.) 141 008

Ph. No. : 98150-98888, 96460-98888, Website : www.hvmsrsecschool.org , Email : hvmconvent@gmail.com

Student Name *

Male/Female *

Admission to class *

DOB *

DOB in words *

Details Of Parents

Details	Mother	Father/Guardian
Name
Education
Permanent Address
Email
Occupation
Official Address
Annual Income

Whether the candidate is:-

(i) Single Girl Child:
(ii) Specially abled (Divyangjan):
(iii) Belonging to the EWS:

Personal Details

Category
Adhaar No.

Last School Detail

Name & Address of Last attended school*

Class Last Attended*

Board of last school attended*

Result of last class attended:*

Transfer Certificate Details:

Transfer Certificate No.*

Date of issues*

Details of siblings (if any):

Name	Brother/Sister	Age	Class

Declaration

I hearby declare that the above information including the Name of Candidate, Father's/ Guardian's Name, Mother's Name and Date of Birth furnished by me is correct to the best of my Knowledge & belief. I shall abide by the rules of the school.

Date :
Place :

Signature of the Partent(s)/Guardian :
Relation with candidate

FOR OFFICE USE ONLY

1. Admission No_____________________________
2. Admission Fee____________________________
3. Tuition Fee________________________________

1. Class_________________Section__________________
2. Any fee concession availed_____________________
Nature of concession (if any)______________________
3. Verified by_________________Date________________

___________________________________________Principal

Admission Form