HEM SHEELA MODEL SCHOOL
DHANDABAG
APPLICATION FORM FOR NURSERY
Student's Detail
First Name
*
Last Name
*
Date of Birth
*
Place of Birth
*
Nationality
*
Present Address
*
Same as above
Permanent Address
*
Caste
*
General
SC
ST
OBC
Gender
*
Male
Female
Blood Group
*
Select Blood Group
AB+
AB-
A+
A-
B+
B-
O+
O-
Mother Tongue
*
Father's Detail
First Name
*
Last Name
*
Employment Type
*
Select Employment Type
GOVT
NON GOVT
SELF EMPLOYED
STEEL AUTHORITY OF INDIA LIMITED
Yes
No
Designation
Academic Qualification
Office Address
Email
*
Phone Office
Phone Residence
Mobile
*
Mother's Detail
First Name
*
Last Name
*
Employment Type
*
Select Employment Type
GOVT
NON GOVT
SELF EMPLOYED
HOME MAKER
STEEL AUTHORITY OF INDIA LIMITED
Yes
No
Designation
Academic Qualification
Office Address
Email
Phone Office
Phone Residence
Mobile
*
Guardian's Detail
Guardian is
*
Father
Mother
Other
First Name
*
Last Name
*
Guardian's Relation
*
Mobile
*
Email
*
Other Details
Single Girl Child
*
Yes
No
Specially abled (Divyangjan)
*
Yes
No
Belonging to the EWS
*
Yes
No
Choice of 2nd Language
*
Bengali
Hindi
Parent's Aadhar Card
Annual Income of Parents
*
Details of sibling, if any, studying in HSMS, Durgapur
Name
Class & Section
Admission No.
Year of Admission
Serious ailment of the child that the school should be informed e.g. Heart Problem, Epilepsy, Asthma, Hearing, Speech and Convulsion etc.
Uploads
Photograph of Child
*
Discharge Certificate from Hospital
Birth Certificate
*
Father's Highest Educational Qulificaiton Certificate
Mother's Highest Educational Qulificaiton Certificate
Residential proof Certificate
Sibling's ID Card studying in Hem Sheela Model School
ID Card of either parents working in respective organisation
Certificate for Single Girl Child
Certificate for Specially abled (Divyangjan)
Certificate for EWS
Parent's Aadhar Card
Declaration
I hereby declare that the above information including Name of the Candidate, Father's/Guardian Name. Mother's name and Date of Birth furnished by me is correct to the best of my knowledge & belief. I shall abide by the rules of the School.
I fully understand that the school, on accepting the application for admission, is not in any way bound to grant admission, as admission is purely based on the availability of seats and on qualifying the Interaction. I also understand the decision of the School Management regarding admission will be final and binding on me.
On my ward's selection for admission, I shall have no objections to the instructions and guidelines of the school. I further undertake to abide by all the school rules as may be put into effect from time to time.
I agree
Submit
