Vivekanand Sr. Hr. Sec. School


(Affiliated to CBSE)
Collectorate Circle, Agra Road By Pass, Dausa (Raj.)
Ph. : 01420-223840, M. : 9460139009
Email -  vivekanandschooldausa@gmail.com
School Code-11053 (Affiliation No.- 1730707)
APPLICATION FORM FOR ADMISSION
Classes : P.G. TO XII
INSTRUCTIONS :
  1. No column should be left blank except column 11 if not applicable .
  2. Online application form fee Rs.500/- be submitted through Goolge pay/Phonepe on mob no: 946 013 9009 .
1. Name(In Block Letters)
2. Father's Name
3. Mother's Name 
4. Date of Birth (DOB)
5. DOB In words
6. Age on 1st April of the year of admission sought
7. Birth Year
8. Name of last School attended, if any
9. Class to which admission is sought
10. Current Class
11. For Class XI & XII  
A. Stream Offered
B. Subject Offered
12. Nationality
13. Religion
14. Category
15. Mother tongue
16. Education Qulifications of Father
17. Education Qulifications of Mother
18. Occupation of Father
19. Mobile
20. WhatsApp No For Online Classes
21. Occupation  of Mother
22. Mobile
23. Address of Residence
24. Email ID
25. Conveyance facility (If Required)
 
26. Particulars of application form fee  
ⅰ. Paid to
ⅱ. Debited from bank
ⅲ. Bank Account
ⅳ. UTR
Date   Sign.................................................
Name (In capital latters) 
Relationship                    
27. Passport Size Photograph
28. Father Signature
UNDERTAKING :
1. I affirm that the particulars given above in respect of myward are true and I am solely responsible for their accuracy
2. I fully understand that the School on accepting the registration of myward, is not in anyway bound to grant admission.
    I also understand that the decision of the Principal regarding admission will be final.
3. I also understand that the fee/charges once paid will not be refunded under any circumstances.
4. I have read and understood the above instructions and prospectus and agree to abide by all the School rules framed from time to time.
I hereby accept terms and conditions
FOR OFFICIAL USE ONLY
Application Received on
Receipt No
Date
Registration No
Remarks, If Any
PRINCIPAL