OFFICE OF THE PRINCIPAL
ANANDA SINGH HR. SEC. ACADEMY
IMPHAL EAST
ADMISSION FORM FOR CLASS XI
Affix a passport size photograph
2022-2023
Personal Details
Print this form using Ctrl+p or just note down the code 'ASHSA/null'
Name
Father's Name
Mother's Name:
Address :
Phone No:
Date of Birth :
Aadhaar No :
Category :
Sex :
Name of the Board :
Name of the Exam :
Roll :
Year Passed :
Percentage of Marks :
Name of the Institute :
Details of Class X or equivalent exam passed
Subjects Detail
Declaration by student
I hereby declared that the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records. And I promise to abide by the rules and regulations of the school.
Signature of the student
Declaration by Parents/Guardian
I solemnly declared that the above details are true to the best of my knowledge and belief. I understand any violation / indiscipline will attract fine or expulsion or both to my ward. I also give an undertaking that if my son/daughter meets with any accident (or) found missing (or) dead, due to violation of school rules, I will not proceed against the School for such incidents committed by my ward.
Signature of the Principal
Signature of the parent/guardian
Documents to be enclosed
a) Two photocopies of Admission Card of HSCL/Equivalent Examination.
b) Two photocopies of Mark Sheet of HSLC/Equivalent Examination.
c) Two photocopies of valid SC/ST/OBC Certificate Issued by the concerned authority.
d) Two photocopies of Aadhaar Card.
e) Two passport size Photograph.
f) Two photocopies of Eligibility Certificate issued by the Council of Higher secondary Manipur.(For Student who had passed Class X from other Board other than Board of Secondary Education, Manipur)
