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

 English

MIL/ALT:

Optional :

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)