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GSEB (6 to 9)(Proposed CBSE)

Application

Grade Applying (Std.):

Student’s Information

Full Name: Date of Birth: Place of Birth: Mother Tongue: Nationality: Religion: Caste: Sub Caste:

Category:

STSCOBCGENERAL Identification Marks: Student’s Aadhaar Card No: Achievements: (Enclose documents) Special Interests & Hobbies:

Please upload
recent Passport Size
(51 mm × 51 mm)
photograph here.

Demo Sign

Primary Contact Person - (Detail of person sponsoring student’s education)

Name: Primary Contact Number: (for SMS alert) Primary Email: (For e-mail alerts / official messages)

Relation

FatherMotherOr

Qualification: Annual Income: Address for Correspondence (Residential Address): City/Town: District: State: Country: Pin/Zip: Alternate Number

Please upload your
Visiting Card here

Please Inform immediately,
in any change in contact

Previous School Information

Name of School/Institution: Place of School/Institution:

Medium

GujaratiEnglish Std: Secured: % Year:

Board

GSEBOther

Student’s DISE Code: Contact No. of School:

Medical Information

Height: cms Weight: kgs Blood Group: Special Attentions:

Parents’ Information

Father’s Name: Qualification: Profession: Mobile No: Aadhaar Card No:

Please upload
recent Passport Size
(51 mm × 51 mm)
photograph here.

Mother’s Name: Qualification: Profession: Mobile No: Aadhaar Card No:

Marital Status

Please upload
recent Passport Size
(51 mm × 51 mm)
photograph here.

TogetherSeparatedDivorcedWidowerWidow

Local Guardian’s Information

Name: Mobile No: Profession: Relation with ward: Address: City/Town: State: Pin/Zip:

Undertaking by the applicant

With this application I solemnly state and undertake that

I have carefully gone through the Rules & Regulations laid down by the institution before applying for registration of my child/ward and I agree to abide by the same.
I Undertake that my daughter will also abide by the Rules & Regulations of the institution. Failing to follow the rules, this application shall be considered as the application for the Transfer Certificate and institution is authorized to issue the TC, in case.
I Understand that fees once paid is neither refundable nor transferable under any circumstances.
I hereby confirm that all the information filled in this form is true and agree that institution reserves right to cancel the admission if any information furnished is found false, now or at anytime later.

Student’s Signature(500kb):

Mother’s Signature(500kb):

Father’s Signature(500kb):

Sponsor’s Signature(500kb):

How did you come to know about Gurukul? *

Area where you can contribute Gurukul

Consent by Student & Parent

* I/we have read and understood the above stated rules and regulations and accept as well as give consent to abide by.

Signature of Candidate

Signature of Parent/Guardian

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