Government ST Ashram Admission Form - AP Online

FORM FOR ADMISSION INTO GOVERNMENT S.T.ASHRAM SCHOOLS1 Name of the Applicant :2 Caste / Tribe Type :3 Native Village / Mandal :4 Distance to Hostel from Native Place :5 Date of Birth as per school records :6 Father’s Name, Address, Occupa tion :7 Annual Income details of Father(a) In case of Guardian, Guardian’sAddress:(b) Guardian’s Name & AnnualIncome:8 Name of the School in which he isstudying:9 Class in which student is studying atpresent:10 Whether the applicant has resided inhostel before? If yes please givedetails of hostel & year:Signature of the ApplicantSignature of the Head Masterof the School with Seal

COMMUNITY CERTIFICATE( To be signed by any Gazetted Officer )Sri / Smt. __ _____________________________ Son / Daughter of__________________________________ Resident of ________________________is anIndian National and belongs to Scheduled Tribe __________________ to the best of myknowledge and certify.He / She belongs to ________________ religion.Official Seal of the OfficeSignatureName in Capital lettersDesignationFull AddressINCOME CERTIFICATE( To be signed by Mandal Revenue Officer )Sri / Smt. _______________________________ Son / Daughter of__________________________________ Resident of ________________________is anIndian National joint family, the annual income of the father/guardian’s is Rs._______________ (in words) ________________________________________________to the best of my knowledge and certify.Official Seal of the OfficeSignatureName in Capital lettersDesignationFull AddressDECLARATION OF STUDENT AND FATHER / GUARDIANWe, myself and my son / daughter abide by the rules and regulations asprescribed by the Government. We declare, if the details furnished above are false, weagree for any punishment imposed by the Government.SIGNATURE OF THE STUDENTSIGNATURE OF FATHER / GUARDIANPROCEDURE:The applicant fill up the form and submit to the concerned Head Master.