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SC / ST - sainik school ambikapur

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Application No.<br />

FOR OFFICE USE ONLY<br />

tfre-oorqffidJrmdrfrftq )<br />

oll No.<br />

Gi.<br />

ategory<br />

1. Name of the Boy in full<br />

(rN BLOCK LETTERS)<br />

ar-{ oT T{r c|q<br />

2. Name of the Father in full<br />

fr-cr or TiT nll<br />

3. (a) Name of the Mother in full<br />

qff,T oT wr cTq<br />

(c)Telephone No.<br />

ffiqr.<br />

SAINIK <strong>SC</strong>HOOL A},IB I KAPUR<br />

+frfiugdorfur,rgs<br />

APPLICATION FORM FOR ADMISSION TO CLASS VI/IX<br />

(b) Name of the Guardian, if Father<br />

& Mother both are not alive<br />

orFqrafr o-t iFI qR fl-dT,/fudT sH frfr-f, q d<br />

4. (a) Occupation of Father/Mother/Guardian ---------<br />

qrmZfuarZsrftqco oT isr<br />

(b) Monthly Income from all sources<br />

-a ---\-* -; -_ ,-..AlTqT<br />

g.fdl q QFI q||go 3{rrl<br />

(For <strong>SC</strong> / <strong>ST</strong> Candidates)<br />

sEssloN : 2013-2014 sq : 2013-2014<br />

Last Date of Submission of Application : 1Oth Dec2012<br />

wrd wqr o-qi or 3iftq frfU : 1s ftq{q{ 2612<br />

Date of Examination / qftryr fiffr - 06 trildft 2013<br />

TO BE FILLED IN BY PARENT / GUARDIAN<br />

5. Date of Birth (Attach Copy of Certificate)<br />

q-q ftfU (nnv va vrd.q 6i) m [tr<br />

Dav Month year<br />

(in words)<br />

5. ldentification Marks<br />

qEilc fo{q<br />

(a)<br />

(b)<br />

--- (d)Mobile No<br />

deEf, c.<br />

7. State of Domicile (Attach Photocopy to Certificate)<br />

orBqnl o-f {f-il<br />

8. Permanent Address<br />

erft qen<br />

9. Correspondence Address<br />

10. Mention below the category to which you belong <strong>SC</strong> / <strong>ST</strong>/ st\'il./3ru-cl<br />

jS<br />

^-<br />

.tllV<br />

A-<br />

l\rltl<br />

^\-* )i ^.--\<br />

>|Ull n \tllO<br />

=-<br />

E Vtlclll<br />

\--<br />

\Jc'sl(9<br />

---\<br />

cPY ................<br />

(r+u v-a 01 urqufr ira q oi )<br />

PIN<br />

_____________PtN<br />

Paste Recent Passport size<br />

photograph of the boy duly<br />

attested by Pricipal / Headmaster<br />

of the <strong>school</strong> last aftended<br />

alongwith one additional<br />

photograph.<br />

trd era t ffqI rrrrr Er-{<br />

sT sH q) w$ fr-fl-dq<br />

d qErT=n4-d eriT q-.qtfr-d<br />

E) M deil 96<br />

3rfrftff qH qr:i d $d I<br />

lf You belong to Schedule Caste/ Schedule tribe Community<br />

write the name of your caste and attach photo copy of certificate.<br />

.,---,-€: --.-+ - ^,--,-,,F- - .-,-A -; + + ^,,, {\ ,,, ,,T\ - --\- ---\<br />

\tlil\.tilq \tl:'tJ]zlcl \tllo


12. (al In case your son qualifies in the Entrance Examination but cannot be admitted to this <strong>school</strong> due to low<br />

merit, write the names of three <strong>school</strong>s in order of your preference at which you would like to admit your son as full<br />

fee paying sudent. (list of Sainik School is given at page 1 of the prospectus.)<br />

3r.rrolqdGTfuTrq/5toTqmifi-q.rfteniivro-aatideraq


Application No.<br />

fffrnqdorfuEn-gs<br />

IDENT| FICATION CERTIFICATE : SES<strong>ST</strong>ON 201g-2014<br />

q6zil-{-q-{ : lll{ 20i3-2014<br />

ForAdmission fo Ctass Vt /tX (For <strong>SC</strong>/<strong>ST</strong> Candidates I Ogl Ui q T{dl<br />

(To be completed and sent alongwith application)qS en*eq d qrQd q{ s-{ +d<br />

FOR OFFTCE USE ONLY (fr-d6 6rqbq dq#dr fr frC )<br />

D.<br />

7<br />

3.Category : <strong>SC</strong>/<strong>ST</strong> *fr eioralo/qoqo\flTo ...... q. Date of ExaminationAfreTr ftfq - 06 ula-rft 2013<br />

Name of the Candidate I 6H qI qlq ...........<br />

Date of Birth /qq<br />

-JL<br />

LrEqr-r (f) lqq-l<br />

ft|{<br />

ldentification Marks (a) ...<br />

(b)<br />

Address for Correspondence<br />

EiTzlTq OT gcIT ..........,...<br />

TO BE FILLED IN BY THE PARENT IN BLOCK CAPITALS<br />

(Grft'trrdo HtrT {g eiert ii .rEr qr},TT)<br />

Paste Recent Passport size<br />

photograph of the boy duty<br />

attested by Pricipal / Headmaster<br />

of the <strong>school</strong> last<br />

attended .<br />

qd era i *"qr rrn 6r-{<br />

or qH q) s€-d ft-sTds<br />

d stlqtqrd em stqrfro<br />

6) M den t'6<br />

3Tfrfttr qH qr?r i N r<br />

signature of candidate I u'' d Elfl&r{<br />

office Seal I or' o1 3w<br />

Note : The Photograph must be attested by the Principal/Headmaster<br />

ut-{ or qH<br />

eqmlg,'|-{o gm wcqrfi-o +rT<br />

"TR\,<br />

fu-fl ft-€rrd-q i wra qa r-a d I<br />

rtj'l'?Hf"m ibkapur / fffto ia.= q*d-drgi<br />

of the School where the boy is presenly studying.<br />

Application No.<br />

For Admission to Class VI/IX<br />

SAINIK<br />

<strong>SC</strong>HOOL<br />

fffrro.qooTfufirgs<br />

ADMIT CARD : SESSION 2013-2014<br />

Y+qT !T : q=l 201 z-2014<br />

<strong>SC</strong>/<strong>ST</strong> Candidates ) tFfll F: q T{ff t qrqmq<br />

Al'{B I KAPUR<br />

3nq0qr0 3{td46 d ffi)<br />

5<br />

o.<br />

7<br />

9.<br />

ldentification Marks (a) ..<br />

--lL<br />

q6qt-l cD tr..tEi<br />

(b)<br />

Father's Name / ft-cr or q-q<br />

Address for Correspondence<br />

q-{|qR<br />

OI qcTI<br />

TO BE FILLED IN BY THE PARENT IN BLOCK CAPITALS<br />

(elft'rrrqo gnr {g e{exi fr .rq qr},TT)<br />

Paste Recent Passport size<br />

photograph of the boy duly<br />

attested by Pricipal / Headmaster<br />

of the <strong>school</strong> last<br />

attended.<br />

qd era q drnT Tqr ur.{<br />

6T qbld d s€-d fu{rds<br />

d qqrqrqrd grgr siqln'-d<br />

Ei M drn Vfi<br />

srRftff qH qr?d i N r<br />

Signature of Candidate I sn d F{f,T&f{<br />

Office Seal I or. o1 grr<br />

Note : (1) This Admit Card be brought for each sitting of the Examination.<br />

.q6 orgqfr-qf, qfrer o1 s-.f6 q'rfr n frR-df, sq r) aii r<br />

(2) This Admit Card is not valid in the absence of seal of Sainik School.<br />

116 orrqfr-qr qq-a qs-r qft<br />

Principal/rmr$<br />

Sainik SchoolAmibkapur,/ tB'o rqa oTkoTgi<br />

Programme Overleaf<br />

rlcr qfr&Tr 6rd-dtq fu sFf, t r


CLASS - VI<br />

PROGRAMME FOR ENTRANC EXAMINATION<br />

Date - 06-01-2013<br />

S.<br />

No.<br />

Time Subjects Maximum Marks Remarks<br />

1. 06-01-2013 Mathematics Knowledge Test<br />

0900 hrs to 1100 hrs<br />

&<br />

Language Ability Test<br />

2. 06-01-20',3<br />

1200 hrs to 1250 hrs<br />

100<br />

100<br />

in one booklet<br />

Intelligence Test 100 in one booklet<br />

TOTAL 300<br />

CLASS - IX<br />

Date - 06-01-2013<br />

S.No. Time Subjects Maximum Marks Remarks<br />

1. 06-01-2013<br />

0900 hrs to 1130 hrs<br />

2. 06-01-2013<br />

1200 hrs to 1400 hrs<br />

Mathematics<br />

&<br />

Science<br />

English<br />

&<br />

SocialStudies<br />

200<br />

75<br />

100<br />

75<br />

TOTAL 450<br />

in one booklet<br />

in one booklet

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