MODI PUBLIC SCHOOL, SILIGURI
Admission Form
Admission Type:
Name of Student:*
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Enter DOB:*

Enter DOB in words:
Age as on 1st Aril 2021:
Gender:*
Only Child:*
Blood Group:*
Nationality:*
Religion:*
Mother Tongue:*
Aadhar No:
Single Girl Child:*
Specially Abled (Divyangjn):*
Belonging to the EWS (Economically Weaker Section):*
Admission for Class :*
Residential Address:*
Father's Name:*
Father's Academic Qualification:
Father's Occupation:
Father's Designation:
Father's Official Address :
Father's Mobile No :*
Father's Email-id :
Father's Annual Income :*
Father's WhatsApp No :
Mother's Name:*
Mother's Academic Qualification:
Mother's Occupation:
Mother's Designation:
Mother's Official Address :
Mother's Mobile No :
Mother's Email-id :
Mother's Annual Income :
Mother's WhatsApp No :
Name and Address of the Previous School(only for class 2 & above) :
Second language :*
Third language :
Category :*
last School Affiliation:
Last class attended:
Result of last class (less than 300Kb):
Transfer certificate No. :
Transfer certificate date of issue :
School Bus Required:*