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ONLINE ADMISSION
Navnirman High - English Medium School
Admission to Class -
Select Class
Class I
Class II
Class III
Class IV
Class V
Class VI
Class VII
Class VIII
Class IX
(As per previous school records/ birth certificate)
NAME OF STUDENT
(IN BLOCK LETTERS)
SURNAME
FIRST NAME
MIDDLE NAME
Age :
Date of Birth : DD
Month
Year
Polio Dose given
Vaccination
Mother tongue
Place of Birth
District
State
Country
Religion
Caste - SubCaste
Category
Nationality
Mother’s Full Name
SURNAME
FIRST NAME
MIDDLE NAME
Qualification
Email ID
Occupation
Position
(Name of the company / Institution and Place)
Mobile No.
Office Ph. No.
Father’s Full Name
SURNAME
FIRST NAME
MIDDLE NAME
Qualification
Email ID
Occupation
Position
(Name of the company / Institution and Place)
Landline No.
Total Annual Income of Parents
Pan Card No. Father’s/ Mother’s
Aadhar Card No.: Father’s/ Mother’s
Residential Address :
Permanent Address :
Name and Address of Previous School Studies
Institution
Percentage
Year
Transportation Facility Required : If Yes
Pick Up Point
PLEASE ATTACH YOU DOCUMENTS
* All Documents are compulsory
Students Photograph -
Original Leaving Certificate of Previous School -
Students Original Marksheet -
Students Original Medical Certificate -
Students Adhar Card -
Students Cast Certificate (True Copy) -
Fathers Adhar Card -
Fathers Pan Card -
Fathers Cast Certificate (True Copy) -
I/We hereby state that, the information given by me/us is true and correct.
© 2023 Navnirman High
S.M. Joshi Vidyaniketan, P-63 , M.I.D.C., Mirjole, Ratnagiri - 415 639
Phone : 02352 - 228441. E-mail - navnirmanhigh@gmail.com
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