Admission Application Form

Anand Niketan

+91 70089 63163 office@anandniketanschool.com Anand Vunn, Lamtaput, Koraput District - 764 081,

Note: Please review the form and identify the mandatory details marked with an asterisk (*). Gather the necessary information and start the form-filling process. Upon form submission, you will be required to pay an application fee of Rs. 300 to complete the process with debit / credit card or internet banking.

APPLICANT DETAILS

Name ^* :

Date of Application :

Mother tongue of the pupil :

State ^* :

Date of Birth ^* :

Gender ^* :

Male Female

Blood Group ^* :

Nationality ^* :

Religion :

APAR ID ^* :

Caste :

Caste Classification :

Aadhaar Card No :

Ration Card No :

UDISE NO :

Food Choice ^* :

Details of Chronic Diseases, if any ^* :

Are you taking any medicine or treatment at present? ^* :

Family Details

Father's Name ^* :

Father's Profession ^* :

Father's Mobile No ^* :

Father's Email Id ^* :

Father's Monthly Income ^* :

Organization Employed ^* :

Mother's Name ^* :

Mother's Profession ^* :

Mother's Mobile No ^* :

Mother's Email Id ^* :

Mother's Monthly Income ^* :

Organization Employed ^* :

Guardian's Name :

Guardian's Profession :

Guardian's Mobile No :

Guardian's Email Id :

Guardian's Monthly Income :

Organization Employed :

Does the child have any other sibling(s) studying in Anand Niketan ^* :

Information of your brother(s) & sister(s) (If studying in school):

#	Name	Gender	Class
1
2
3

Permanent Address

House No: ^* :

Street ^* :

Town / City ^* :

District ^* :

State: ^* :

Postal Code ^* :

Address For Communication

House No: ^* :

Street ^* :

Town / City ^* :

District ^* :

State: ^* :

Postal Code ^* :

Group & Language Choice

Class last Studied: ^* :

Name of School Last Studied: :

Class for which admission is sought ^* :

Location of School last studied (Mention District & State) :

Choose the language studied in past year: ^* :

Last Studied Syllabus: :

Group I	English, Maths, Physics, Chemistry, Biology
Group II	English, Computer Science, Physics, Chemistry, Biology

Group Preference - First Choice (Only for Class XI) :

Group Preference - Second Choice (Only for Class XI) :

*Note: If any of the above groups has less than 15 candidates, then the second option of the student will be considered.

References (The administration will contact the references given)

Name :

Mobile No :

Name :

Mobile No :

Declaration:

I, hereby declare that all the information provided in this application form is true, complete, and accurate to the best of my knowledge.

I further acknowledge that Anand Niketan reserves the right to verify the information provided in this application and, if necessary, contact the listed references.

I understand the importance of providing accurate information and agree to adhere to all rules, policies, and procedures set forth by Anand Niketan.

I hereby confirm that, at the time of admission, I will produce all the required documents, including a recent passport-size photograph, Aadhaar card, birth certificate, ration card, community certificate, medical certificate, migration certificate, transfer certificate, and any other documents required by the management as part of the admission process.

I also understand that the submission of this application does not imply confirmation of admission for my child.