National Gems Higher Secondary School
4/5, Dr. A. K. Paul Road, Behala, Kolkata - 700034
Application Form for Provisional Admission to Class XI
ACADEMIC SESSION : 2025-2026
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Note : Please put N.A. if not applicable while filling the form.
APPLICATION FORM
CHILD'S DETAILS
Name of the Child
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ICSE UID No.
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Date of Birth
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Mother Tongue
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Nationality
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Gender
Select
Male
Female
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Blood Group
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Religion
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Caste
Select
General
SC
ST
OBC
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Aadhar No.
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SCHOOL LAST ATTENDED
School
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RESIDENTIAL ADDRESS
Address
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Area
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District
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Police Station
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City
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Pin No.
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Contact No.
PARENTS' DETAILS
Father's Name
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Contact No.
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WhatsApp No.
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Email
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Qualification
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Occupation
Select
Service
Business
Self Employed
Other
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Organisation
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Designation
(if in Service)
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Income Per Month
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Address
(Office/Business)
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Mother's Name
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Contact No.
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WhatsApp No.
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Email
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Qualification
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Occupation
Select
Service
Business
Self Employed
House Wife
Other
Organisation
Designation
(if in Service)
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Income Per Month
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Address
(Office/Business)
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LOCAL GUARDIAN DETAILS (Only for Single Parent)
Name
Contact
Email
Relation
Occupation
Select
Service
Business
Self Employed
House Wife
Other
Organisation
Income Per Month
Do you have a brother or sister studying in this school ? If yes please fill in the details below :
1) Sibling's Name
Age
Class
2) Sibling's Name
Age
Class
Stream & Subjects
Preferred Stream
Select Preferred Stream
Commerce
Humanities
