Vill + p.o : Basapara, p.s : Nanoor, dist : Birbhum, pin : 731215 9800700474 yahyamemorialmission@gmail.
com
ADMISSION FORM
Admission for Class:………………..
STUDENT DETAILS
First Name ………………………………………………………………………………………………………………………………
Middle Name ………………………………………………………………………....................................................
Last Name ……………………………………………………………………………………………………………………………...
Date of Birth …………………… Phone No. ………………………... Email Id ……………………………..
Gender: M/ F Category ………………………... Religion …………………………….
FAMILY DETAILS
Father’s Name …………………………………………………………………………………………………………………………
Father’s Phone ………………………………………………………………………..................................................
Father’s Occupation …………………………………………………………………………………………………………………
Mother’s Name …………………………………………………………………………………………………………………………
Mother’s Phone ………………………………………………………………………..................................................
Mother’s Occupation …………………………………………………………………………………………………………………
Guardian’s Name …………………………………………………………………………………………………………………………
Guardian’s Phone ………………………………………………………………………..................................................
Guardian’s Occupation …………………………………………………………………………………………………………………
…………………….... ……………………..………………………….
Date of Application Father / Mother / Guardian’s Signature
ADDRESS DETAILS
Permanent Address ………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
Present Address ……………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
Parents are ultimately responsible for the payment of school fees; regardless of any arrangement that parents have with
their employers. For further information or discussion, please contact our Client Relations Manager.
Required Documents for Admission
1. Application Form
2. Copy of Birth Certificate or child's passport
3. Recent Passport size Photos(2)
4. Previous school records/transcripts/test reports/certified (where applicable)
5. Photocopy of Address Proof(Aadhar card)
Notes
1. Application Forms should be submitted as early as possible as spaces are limited in many grade levels.
2. The Application Form can not be processed until the School first receives the payment of a one time, non-refundable
application fee
3. Supporting documentation listed above may be submitted separately at a later date
…………………….... ……………………..………………………….
Date of Application Father / Mother / Guardian’s Signature
