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Registration Form

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  • Primary Admission Form
  • Secondary Admission Form
  • Junior College Admission Form

Gokuldham High School & Jr. College

Gokuldham, Gen. A.K. Vaidya Marg,Goregaon (E), Mumbai 400 063

Admission Form

Primary (I.C.S.E)

Standard

G.R. No

Name of the Student (In Block Name)

Father's Name
Surname
Mother's Name

Nationality
Religion
Mother Tongue

Scheduled Caste/Tribe
Give Details if Yes (Enclose Certificate)

Date of Birth
Date of Birth in Words

Place of Birth
District / State

Last School Attended (Name & Place)

Recognised or not
Marks Obtained
Out of

Father's Name


(Surname)

(Name)

(Father's Name)

Father's Qualification
Father's Profession

Residential Address
Tel. No.

Office Address
Tel. No.

Mother's Name
Mother's Qualification

Mother's Profession
Mother's Office Address

Tel. No.
Date

 

Gokuldham High School & Jr. College

Gokuldham, Gen. A.K. Vaidya Marg,Goregaon (E), Mumbai 400 063

Admission Form

Secondary (I.C.S.E)

Standard

G.R. No

Name of the Student (In Block Name)

Father's Name
Surname
Mother's Name

Nationality
Religion
Mother Tongue

Scheduled Caste/Tribe
Give Details if Yes (Enclose Certificate)

Date of Birth
Date of Birth in Words

Place of Birth
District / State

Last School Attended (Name & Place)

Recognised or not
Marks Obtained
Out of

Father's Name


(Surname)

(Name)

(Father's Name)

Father's Qualification
Father's Profession

Residential Address
Tel. No.

Office Address
Tel. No.

Mother's Name
Mother's Qualification

Mother's Profession
Mother's Office Address

Tel. No.
Date

 

Gokuldham High School & Jr. College

Gokuldham, Gen. A.K. Vaidya Marg,Goregaon (E), Mumbai 400 063

Admission Form

Junior College (ISC)

Reference No
General Register No

Application For Admission To
STD XI      STD XII
Science
Commerce
Arts

Name of the Student

Date of Birth
In Words

Place of Birth
Nationality

Religion
Caste

Father's Name


(Surname)

(Name)

(Father's Name)

Father's Qualification
Father's Profession

Residential Address
Tel. No.

Office Address
Tel. No.

Guardian's Name


(Surname)

(Name)

(Father's Name)

(Mother's Name)

Guardian's Qualification
Guardian's Profession

Residential Address
Tel. No.

Office Address
Tel. No.

Guardian's relationship with pupil

Passed x/xi Examination in the year
At the
attempt

Seat No
Centre
Board/University

Aggregate Marks
Out of
Percentage

Name and address of the last School/college attended
Medium of Instruction

A) The Pupil was not formerly a student of this institution.
B) Relatives who have studied in this institution.

Name

Relationship

Year in the School/College

We certify that the above information is correct. We have read the rules & regulations and agree to abide by them as other rules and regulations framed in future. We agree that acceptance of this form does not mean that the pupil is admitted.

Place
Date

 

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