-1- ADMISSION STRICTLY FOR BOYS ONLY (To be filled by the school office) (To be filled by the school office) Form No. _____________________ Roll No. ______________________ Category. ____________________ Checked & Initiated by _________ Received Date. ________________ MSM SAINIK SCHOOL SRI GANGANAGAR APPLICATION FORM FOR ADMISSION IN CLASS VI/IX: ACADEMIC SESSION 2015-16 Read instructions carefully before filling up the application form. Fill all columns in legible capital letters. SECTION I 1. Class for which admission is sought – __________ Latest Passport size photo the student 2. Candidate’s Date of Birth Candidate’s Date of Birth (In words): ________________________________________ 3. Name of school previously attended with Class Session Name of the school with complete address Class 4. Name of the candidate in full (CAPITAL LETTERS ONLY) 5. Father’s Full Name (CAPITAL LETTERS ONLY) 6. Mother’s Full Name (CAPITAL LETTERS ONLY) 7. Occupation of Father/Mother ______________________________ 8. Annual Income ______________________ 9. Whether son of Army/Navy/Air force Defence Personnel ______________. 10. Nationality ________________ 11. Religion ___________________12. Category: (Please tick) GEN OBC SC If you belong to OBC/SC/ST category, please specify your Sub Caste/Tribe _______________________ (Attach self attested photocopy of caste certificate issued by competent authority) ST -213. Registration Fee: Bank Draft No. and Date Amount Drawee Branch Name of the issuing branch Bank Name with Code No. (Demand Draft only from nationalised bank be made in favour of PRINCIPAL, MSM SAINIK SCHOOL, SRI GANGANAGAR (RAJ.) payable at STATE BANK OF INDIA, SRI GANGANAGAR 14. Permanent Address: - Pin 15. Address for Correspondence: - Pin 16. Mobile No. ____________________________________ 19. e-mail ID _________________________________ ___________________________ Signature of the Parent/Guardian DECLARATION BY THE PARENT I solemnly declare that the particulars furnished above are true and no information has been concealed. In case If any of the above information found incorrect at any time, I will have no objection for removal of my son from the school. Orders and Instructions given/issued from time to time by the Principal will be binding on me. Date ____/____/ 2014 Place ________________ __________________________ Signature of the Parent/Guardian ENTRANCE EXAM : 2015-16 INSTRUCTIONS Please read the following instructions carefully before filling up the Application Form 1. Eligibility (i) Father of candidate must be a domicile of INDIA. (ii) Date of Birth Application are invited as per the given format from boys born between dates given as under for the academic year 2015-16. (a) For Class VI : 02 February 2004 to 01 July 2006 (both dates inclusive) (b) For Class IX : 02 February 2001 to 01 July 2004 (both dates inclusive) (iii) Must have passed class V and VIII for admission in class VI and IX respectively by 20 June 2015 from a recognized school. 2. Reservation and scholarship: Out of total vacancies, 20 % of the seats are reserved for OBC, SC ST categories. And 10% of the seats are reserved for Defence. 3. Scheme of Written Examination: Admission to the school is made through a competitive examination. The subjects of examination are First Paper: Mathematics, Second Paper: Language ability (Hindi & English) Test, General knowledge and intelligence test. The school provides admission in class VI and IX only. 4. Examination Centre MSM SAINIK SCHOOL, SRI GANGANAGAR 5. Availability of Application Form: Format of Application form with instructions will be available from 19 November 2015 to 10 January 2016 on school website and www.msmsainikschool.in late fee 110 Rs extra from fee.) 6. Last Date for submission of Application Form Application completed in all respects along with admit card, Identification Form, self address envelop with Rs.25/- stamp affixed and Demand Draft of Rs 300/- drawn in favour of Principal, MSM Sainik School, Sri Ganganagar, Rajasthan payable at, Sri Ganganagar, the ‘Principal, Rajasthan 7. Date of Entrance Examination 2nd Sunday of February 8. Tentative dates of Interview between 01 March to 15 April 2015 9. School Fee Scholarship is given on merit basis by CRRMCT. Fee may be increased as per existing rules.. 10. Parents are advised to keep a photocopy of Demand Draft for further reference purpose. 11. The following documents/certificates to be submitted at the time of admission: a. Transfer Certificate from the school last attended duly counter signed by District Inspector of school. b. Domicile certificate of father issued by the District Magistrate or authorised by DM in original. c. Caste certificate (SC/ST/OBC) from competent authority in original. d. Agreement bond on Rs.50/- Special Adhesive Stamp. e. Affidavit on Rs.10/- non judicial stamp regarding ragging.
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