SC / ST - sainik school ambikapur
SC / ST - sainik school ambikapur
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