YOUR STREAM

ROLL NO

DATE OF APPLICATION

CLASS TO WHICH ADMISSION IS SOUGHT

FULL NAME

Date Of Birth

APPLICANT'S AGE IN YEARS AND MONTHS IN 1ST APRIL AT THE TIME OF ADMISSION:YEARS

YEARS MONTHS DATE

BLOOD GROUP

CASTE CATEGORY

NATIONALITY

MOTHER TONGUE

Details of Parents / माता-पिता का विवरण:-

DETAILS OF PARENTS / माता-पिता का विवरण	MOTHER/माता	FATHER/पिता	GUARDIAN	INTRODUCER
(i) Name (in capital letters) नाम/
(ii) Nationality & Occupation/राष्ट्रीयता और व्यवसाय
(iii) Address (Local)
(iv) Address (Permanent)
(v) Phone (R)

INTRODUCER SHOULD BE A TEACHER OF TULSI VIDYA NIKETAN/OFFICER BEARER OF MEMBER OF MANAGING COMMITTEE/A PROMINENT CITIZEN OF VARANASI KNOWN TO EITHER A TEACHER OF TULSI VIDYA NIKETAN OR OFFICER BEARER OR MEMBER OF MANAGING COMMITTEE.

SCHOOL HE/SHE HAS LAST ATTENDED

CLASS IN WHICH HE/SHE WAS STUDING

MEDIUM OF INSTRUCTION

PERCENTAGE OF MARKS OBTAINED

DATE OF T.C.

HOME TOWN / गृहनगर:

WHETHER THE TC(TRANSFER CERTIFICATE)/ COUNTERSIGNED TC IS SUBMITTED:

RESULT

I WILL SUBMIT MY TC/ COUNTERSIGNED TC BY

BIRTH CERTIFICATE SUBMITTED

Photo (Passport Size):*

Signature Image* :

Having read carefully all the Rule's and Regulation laid down in student's Diary, We hereby agree to abide by them and to be responsible for any act of indiscipline/vandalism in and outside the school premises, failing which the school is free to intiate disciplinary action against the student including financial punishment/suspention/rustication from the school.

APPLICANT'S AGE IN YEARS AND MONTHS IN 1ST APRIL AT THE TIME OF ADMISSION:YEARS

Details of Parents / माता-पिता का विवरण:-

INTRODUCER SHOULD BE A TEACHER OF TULSI VIDYA NIKETAN/OFFICER BEARER OF MEMBER OF MANAGING COMMITTEE/A PROMINENT CITIZEN OF VARANASI KNOWN TO EITHER A TEACHER OF TULSI VIDYA NIKETAN OR OFFICER BEARER OR MEMBER OF MANAGING COMMITTEE.

WHETHER THE TC(TRANSFER CERTIFICATE)/ COUNTERSIGNED TC IS SUBMITTED:

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Info Admission Inquiries

(0542) 2985134

Admission Form 11th Class

APPLICANT'S AGE IN YEARS AND MONTHS IN 1ST APRIL AT THE TIME OF ADMISSION:YEARS

Details of Parents / माता-पिता का विवरण:-

INTRODUCER SHOULD BE A TEACHER OF TULSI VIDYA NIKETAN/OFFICER BEARER OF MEMBER OF MANAGING COMMITTEE/A PROMINENT CITIZEN OF VARANASI KNOWN TO EITHER A TEACHER OF TULSI VIDYA NIKETAN OR OFFICER BEARER OR MEMBER OF MANAGING COMMITTEE.

WHETHER THE TC(TRANSFER CERTIFICATE)/ COUNTERSIGNED TC IS SUBMITTED:

Quick Links

Apply Today to Conservatory

Info Admission Inquiries

(0542) 2985134