School No: 52012

Affiliation No: 3430163

Applicant Profile :

	Name of Applicant	:
	Gender	:	MaleFemaleOthers
	Date of Birth	:		Category	:	-: Category:- S.C. S.T. O.B.C. Gen.
	Nationality	:	-:Select Country:- Africa Argentina Australia Austria Belgium Brazil Bulgaria Canada Caribbean Central America Chile China Colombia Costa Rica Croatia Czech Republic Denmark Dominican Republic Estonia Finland France Germany Greece Guatemala Hong Kong Hungary India Indonesia Ireland Israel Italy Japan Korea Latvia Lithuania Malaysia Middle East Morocco Netherlands New Zealand Norway Panama Peru Philippines Poland Portugal Puerto Rico Romania Russian Federation Singapore Slovakia Slovenia South Africa Spain Sweden Switzerland Taiwan Thailand Turkey Ukraine United Kingdom United States Venezuela Vietnam	Religion	:	-: Religion :- Christian Hindu Jew Muslim Parsi Santhal Sikh Zorastrian Others
	Name of last School Attended	:		Board	:

Parent/Guardian Details:

	Father			Mother
	Name	:
	Educational Qualification	:	-: Select :- Doctorate M Phil Masters Management Finance Graduate Under Graduate Diploma Intermediate Metriculation IT Non Metric Other	-: Select :- Doctorate M Phil Masters Management Finance Graduate Under Graduate Diploma Intermediate Metriculation IT Non Metric Other
	Occupation	:	-: Occupation :- Agriculture Business Govt. Service Private Service Self Employed Others	-: Occupation :- House Wife Agriculture Business Govt. Service Private Service Self Employed Others
	Annual Income	:	-: Annual Income :- 0 ~ 50,000 50,000 ~ 150000 150000 ~ 250000 250000 ~ 350000 350000 ~ 450000 > 450000	-: Annual Income :- None 0 ~ 50,000 50,000 ~ 150000 150000 ~ 250000 250000 ~ 350000 350000 ~ 450000 > 450000
	Place of Stay(City/Town/Vill)	:
	Guardian's Name (Only if father is not the guardian) :
	Contact Address: Line 1 :   Line 2 : City/Town :   PIN   State : -: Select :- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal    Mobile No.    e-mail :

Application Fee Detail:  
Cash Payment at Admission office.
Bank Demand Draft
Subject Combinations (Select one)  
     English(core), Physics, Chemistry, Mathematics and Bio Science.
     English(core), Physics, Chemistry, Mathematics and Physical Science / Economics.
     English(core), Physics, Chemistry, Bio Science and Physical Science / Economics.
     English (core), B.S.T., Accountancy, Economics, Physical Education.
Applicants Declaration:

That I do hereby, undertake :

1. That I shall fulfil all condition, norms and standards of this Institution
2. That I shall uphold the good name, prestige, dignity and tradition of this reputed Institution by my gesture, posture, behaviour, actions and expressions in all circumstance.
3. That I shall not indulge in any activity amounting to misconduct and indiscipline.
4. That under no situation shall I leave the campus of this Institution without prior permission from its appropriate authority during School Hour.
5. That whenever I have any problem/difficulty/constraint or grievance, I will place the same before the competent authority Individually, never in unison with others.
6. I further undertake that failing to abide by any of the above, I shall be solely responsible for any action taken by the competent School Authorities.

I accept (Applicant Declaration).  

Parent/Guardian's Declaration:

That I shall be responsible for the expenses and conduct of my son/daughter/ward. If withdrawn my son/daughter/ward on my own will after admission, the deposits made thereon shall not be refundable and I shall not claim for any refund. In case of breach of discipline or neglect of studies, he/she may be expelled from this School by the Principal and also in matters of any dispute or difference, the decision of the Managing Director shall be final and binding.

I accept (Parent/Guardians Declaration.)  

Important
An application fee of Rs. 350.00 (Rs. Three Hundred Fifty Only) along with the printed Application form, must be submitted with the School Office in person/registered post. so as to reach School Office latest by : 0 .

Application fee (if sent through post) should be in the form of Demand Draft drawn in favour of "RED ROSE EDUCATIONAL TRUST", Payable at Deoghar.