ADMISSION OF FIT CANDIDATES AS PER THE LIST GIVEN BELOW WILL BE TAKEN ON 15 MAY 15 AND 16 MAY 15 PARENTS OF THE CANDIDATES ARE REQUIRED TO SUBMIT THE FOLLOWING DOCUMENTS ON THE GIVEN DATE OF ADMISSION ELSE ADMISSION WILL NOT BE TAKEN. (A) ORIGINAL BIRTH CERTIFICATE ISSUED BY COMPETENT AUTHORITY (BIRTH & DEATH REGISTRAR) DO PART II ORDER OF BIRTH IN CASE OF DEFENCE PERSONNEL ORIGINAL TRANSFER CERTIFICATE FROM PREVIOUS SCHOOL ORIGINAL DOMICILE/ PERMANENT RESIDENTIAL CERTIFICATE- AS PER APPENDIX-‘A’ SCHOLARSHIP FORM / UNDERTAKING – AS PER APPENDIX – ‘B’ SERVING CERTIFICATE IN CASE OF SERVING DEFENCE PERSONNEL ATTESTED COPY OF DISCHARGE BOOK IN CASE OF EX-SERVICEMEN INCOME CERTIFICATE FROM APPROPRIATE AUTHORITIES INCOME AFFIDAVIT AS PER APPENDIX- ‘CAGREEMENT BOND AS PER APPENDIX- ‘D’ UNDERTAKING FROM CADETS AS PER APPENDIX ‘G’ AFFIDAVIT BY PARENT ABOUT ANTIRAGGING AS PER APPENDIX- ‘H’ (B) (C) (D) (E) (F) (G) (H) (J) (K) (L) (M) LIST OF FIT CANDIDATES CALLED FOR ADMISSION – 2015 Ser Roll No Name Father's Name Medical Status Date of Admission 15 May 15 1 05/P Subhajit Mahato Bhim Chandra Mahato Medically Fit 2 11/P Aryan Mahato Dilip Mahato Medically Fit 3 22/P Souvik Majee Swapan Kumar Majee Medically Fit 15 May 15 4 27/P Debayan Mahato Dhaneswar Mahato Medically Fit 15 May 15 5 39/P Ayan Mukherjee Sujal Mukherjee Medically Fit 15 May 15 6 53/P Aditya Umashankar P Uma Shankar Medically Fit 15 May 15 7 74/P Joy Kumar Hemanta Kumar Medically Fit 15 May 15 8 102/P Aniket Chattopadhyay Chandan Chattopadhyay Medically Fit 15 May 15 9 145/P Biswadip Kar Bibhas Kar Medically Fit 15 May 15 10 157/P Abhisek Mahato Suchand Mahato Medically Fit 15 May 15 11 158/P Prakash Mahato Haradhan Mahato Medically Fit 15 May 15 12 159/P Atanu Pal Tapas Kumar Pal Medically Fit 15 May 15 13 160/P Chittaranjan Mahato Ashok Kumar Mahato Medically Fit 14 161/P Ram Sharan Mahato Nimai Chandra Mahato Medically Fit 15 162/P Subham Kumar Mahato Santosh Kumar Mahato Medically Fit 16 165/P Ranjay Mahato Tapan Mahato Medically Fit 15 May 15 17 166/P Debmalya Mahanty Pranab Kumar Mahanty Medically Fit 15 May 15 18 169/P Ayan Singha Mahapatra Susanta Singha Mahapatra Medically Fit 15 May 15 19 176/P Kuldeep Mahto Ankur Chandra Mahto Medically Fit 15 May 15 20 219/P Bibhabasu Majee Biplab Majee Medically Fit 15 May 15 21 592/P Pratyay Sarkar Biswajit Sarkar Medically Fit 15 May 15 22 746/P Md Asfaque Kuranuddin Medically Fit 15 May 15 23 827/P Himaghno Paul Tapas Paul Medically Fit 15 May 15 24 925/P Aman Sah Subodh Kumar Sah Medically Fit 15 May 15 15 May 15 15 May 15 15 May 15 15 May 15 25 01/P Sanu Dhak Bankim Dhak Medically Fit 15 May 15 26 12/P Priyanshu Kumar Ganesh Kumar Medically Fit 15 May 15 27 24/P Subir Satpati Animesh Satpati Medically Fit 28 30/P Jit Karmakar Prakash Karmakar Medically Fit 29 369/P Saif Alam Jahangir Alam Medically Fit 30 384/P Tapas Kumar Mondal Pradip Kumar Mondal Medically Fit 15 May 15 31 563/P Ayush Chhetri Prithibi Chhetri Medically Fit 15 May 15 32 720/P Ayush Kumar Singh Manoranjan Kr Singh Medically Fit 16 May 15 33 736/P Almomin Mondal Abbas Mondal Medically Fit 16 May 15 34 514/P Subhro Jyoti Bhakta Ratan Kumar Bhakta Medically Fit 16 May 15 35 93/P Suraj Prakash Bhola Kumar Medically Fit 16 May 15 36 152/P Ravi Shankar Kumar Satish Prasad Medically Fit 16 May 15 37 233/P Ashutosh Anand Ram Tahal Singh Medically Fit 16 May 15 38 238/P Gyandev Kumar Yubraj Bind Medically Fit 16 May 15 39 240/P Harsh Raj Manoj Kumar Medically Fit 16 May 15 40 335/P Prahlad Kumar Gopal Kumar Medically Fit 41 340/P Dheeraj Kumar Ashok Prasad Medically Fit 42 358/P Ankit Kumar Ashok Kumar Medically Fit 16 May 15 43 502/P Ritu Raj Pravin Kumar Nirala Medically Fit 16 May 15 44 532/P Bharat Raj Lakshman Yadav Medically Fit 16 May 15 45 547/P Md Kamrujjama Manjar Imam Medically Fit 16 May 15 46 554/P Karan Kumar Kundan Singh Medically Fit 16 May 15 47 46/P Amit Kumar Shahi Arvind Kumar Shahi Medically Fit 16 May 15 48 549/P Anurag Yadav Bijendra Pratap Yadav Medically Fit 16 May 15 49 713/P Kishan Gayas Gavas Prakash Nemaji Medically Fit 16 May 15 50 738/P Alok Kumar Ajeet Kumar Medically Fit 16 May 15 51 241/P Prakash Ch Mandal Sudhir Ch Mandal Medically Fit 52 303/P Sabyasachi Shit Biswanath Shit Medically Fit 53 723/P Srigyan Malakar Debashis Malakar Medically Fit 54 832/P Subhabrata Rajak Swapan Kumar Rajak Medically Fit 16 May 15 55 1034/P Manu Mhalay Binod Kumar Medically Fit 16 May 15 56 1155/P Turja Ninad Paul Swapan Kumar Paul Medically Fit 16 May 15 57 1169/P Asif Hossain Zumman Ali Medically Fit 16 May 15 58 1051/P Bikramjit Saha Bikash Ch Saha Medically Fit 16 May 15 59 Aditya Biswas Tenzing Tendar Bhutia Achin Kumar Biswas Tashi Tshering Bhutia Medically Fit 16 May 15 60 1156/P 1104/P Medically Fit 16 May 15 61 1112/P Arjun Kumar Girish Kumar Medically Fit 16 May 15 62 1114/P Abhinandan Singh Satyender Singh Medically Fit 16 May 15 15 May 15 15 May 15 15 May 15 16 May 15 16 May 15 16 May 15 16 May 15 16 May 15 FOR WEST BENGAL STATE & DEFENCE CANDIDATES By Registered Post Tele :03252- 202004 Sainik School Purulia Fax – 03252-202003 PO : Sainik School E-mail: [email protected] Dist : Purulia (WB) Website: www.sainikschoolpurulia.com Pin : 723104 SSP/192/G To, Shri/Smt _______________________________ Apr 15 _______________________________________ CALL LETTER FOR ADMISSION TO SAINIK SCHOOL PURULIA (WB) SESSION 2015-2016 Dear Sir/Madam, 1. We are pleased to inform you that your son/ward Master……………….…………………., Entrance Roll No……………. has been selected for admission in class VI in this school for the session 2015 - 2016. You are required to report to Sainik School Purulia for admission alongwith your ward and other necessary documents on 15 May 2015 at 0800 hrs. The measurements for the uniform items including school dress, shoes and headgear etc will be taken on that day itself. All the Text Books and Note Books for Class VI alongwith home assignment will also be handed over to you on that day. Thereafter, the academic session for class VI will commence from 16 Jun 15. You are requested to ensure that he completes his home assignment before reporting to the school on 16 Jun 15. THE CHILD MUST BE ACCOMPANIED BY THE FATHER OR THE MOTHER POSITIVELY AND PREFERABLY BY FATHER. 2. Your son / ward must be in possession of the articles listed at para (A) of Appendix ‘F’. Rest of the items will be provided to you on the day of joining the school. 3. RULES OF SAINIK SCHOOL PURULIA : You will be deemed to have read and accepted the rules of Sainik School Purulia as laid down in the school prospectus and as amended from time to time. 4. West Bengal State Government Scholarship: On the basis of your monthly income as stated by you in the application form for admission of your son/ward and on the basis of domicile/permanent residential certificate submitted by you, your son/ward will be eligible for the grant of West Bengal State Government Scholarship for his education in the school for the session 2015-16. 5. Ministry of Defence Scholarship (For Defence Quota candidates only): On the basis of your monthly income as stated by you in the application form for admission of your son/ward and on the basis of proof submitted by you from OC Unit / Record Office, your son/ ward will be eligible for the grant of Ministry of Defence Scholarship for his education in the school for the session 2015-16. 6. The availability of scholarship as stated above in para 4/ 5 is subject to production of latest income/ salary certificate in duplicate from the appropriate authorities such as:(a) Agriculturist : (b) (c) Businessmen Salaried : : Income certificate from Block Development Officer / Agricultural Income Tax Department Latest Income Tax Assessment. Salary Certificate from the head of the department /office/OC, Unit/ Record Office. 7. The following certificates / documents in ORIGINAL, are to be submitted at the time of admission if not submitted earlier:(a) A certificate from the Registered Medical Officer to the effect that the boy has not been exposed to any contagious disease at least three weeks prior to joining the school and showing the date of his last vaccination and inoculation. (b) Proof of age of your son is to be supported by :(i) Birth Certificate issued from Birth Registration Office of Municipality/ Block / Panchayat (Mandatory for all categories) (ii) Transfer Certificate duly countersigned by District Education Officer/ District Inspector of School, if your son / ward is studying in a recognized school. OR (iii) The Deputy Director of School Education (Anglo -Indian Schools) of concerned State/ Region in case the boy has been studying in a school affiliated to ICSE. OR (iv) An extract on the Register of Birth from the Birth Registration office in case the boy has not attended any recognized school. OR (v) In case of Defence Personnel, the date of birth certificate should be from respective Record Office/ OC unit. If the boy was born after discharge, then birth certificate from Zilla Sainik Board /recognized school countersigned by District Education Officer/ district Inspector School/ birth registration office is required. (c) Domicile Certificate/ Permanent Residential Certificate in ORIGINAL issued by District Magistrate/ ADM / SDO of your District as per Appendix ‘A’ attached. (d) Application for grant of Scholarship on prescribed form placed at Appendix ‘B’ duly completed in all respect. (e) An income and Domicile Affidavit as per format at Appendix ‘C’ sworn by the father/ guardian of the boy on a non-judicial stamp paper of Rs. 10/- before the first class Magistrate under his signature and office seal. (f) An agreement bond executed by father/guardian in a non-judicial stamp paper of Rs. 20/- and witnessed by a Gazetted Officer as per format at Appendix ‘D’ attached. The date of agreement will be left blank. It will be completed in the school on the day when the Principal would sign it on behalf of the Board of Governors, Sainik School Society. (g) Caste Certificate (for SC/ST candidates only) from the appropriate authority as mentioned in the school prospectus. 8. The fees and other expenses payable by you at the time of admission of your son / ward and thereafter are given at Appendix ‘E’ attached. 9. Ex-Service personnel should bring with them their original discharge book for verification. 10. Students are advised not to bring with them any valuable articles such as Gold Chains / Rings, Watches, Camera, Transistor, Video Games, Mobile Phones etc. 11. PLEASE NOTE THAT NO ADMISSION WILL BE MADE IN CASE THE PARENT / GUARDIANS COME WITH IMPROPER / INCOMPLETE CERTIFICATES & DOCUMENTS. LEGAL ACTION MAY BE INITIATED AGAINST PARENTS SUBMITTING FALSE/FORGE DOCUMENTS DURING THE ADMISSION PROCESS 12. Candidates and their parents / guardians will have to make their arrangements for their stay in Purulia, if necessary. 13. Wishing your child a bright future. 14. Please acknowledge receipt. (Rahul Sharma) Col Principal Enclo: As stated FOR OTHER STATE CANDIDATES By Registered Post Sainik School Purulia PO : Sainik School Dist : Purulia (WB) Pin : 723104 Tele :03252- 202004 Fax – 03252-202003 E-mail: [email protected] Website: www.sainikschoolpurulia.com SSP/192/G To, Shri/Smt _______________________________ Apr 15 _______________________________________ CALL LETTER FOR ADMISSION TO SAINIK SCHOOL PURULIA (WB) SESSION 2014-2015 Dear Sir/Madam, 1. We are pleased to inform you that your son/ward Master……………….…………………., Entrance Roll No……………. has been selected for admission in class VI in this school for the session 2015 - 2016. You are required to report to Sainik School Purulia for admission alongwith your ward and other necessary documents on ______ May 2015 at 0800 hrs. The measurements for the uniform items including school dress, shoes and headgear etc will be taken on that day itself. All the Text Books and Note Books for Class VI alongwith home assignment will also be handed over to you on that day. Thereafter, the academic session for class VI will commence from 16 Jun 15. You are requested to ensure that he completes his home assignment before reporting to the school on 16 Jun 15. THE CHILD MUST BE ACCOMPANIED BY THE FATHER OR THE MOTHER POSITIVELY AND PREFERABLY BY FATHER. 2. Your son / ward must be in possession of the articles listed at para (A) of Appendix ‘F’. Rest of the items will be provided to you on the day of joining the school. 3. RULES OF SAINIK SCHOOL PURULIA : You will be deemed to have read and accepted the rules of Sainik School Purulia as laid down in the school prospectus and as amended from time to time. 4. Since you are a domicile of other State, your son / ward is not eligible for WB Government scholarship. He will be admitted as a FULL FEE PAYING STUDENT. You are required to pay FULL FEES as per the rates as Appendix ‘E’ and revised as and when. 5. The following certificates / documents in ORIGINAL, are to be submitted at the time of admission if not submitted earlier:(a) A certificate from the Registered Medical Officer to the effect that the boy has not been exposed to any contagious disease at least three weeks prior to joining the school and showing the date of his last vaccination and inoculation. (b) Proof of age of your son is to be supported by :(i) Birth Certificate issued from Birth Registration Office of Municipality/ Block / Panchayat (Mandatory for all categories) (ii) Transfer Certificate duly countersigned by District Education Officer/ District Inspector of School, if your son / ward is studying in a recognized school. OR (iii) The Deputy Director of School Education (Anglo -Indian Schools) of concerned State/ Region in case the boy has been studying in a school affiliated to ICSE. OR (iv) An extract on the Register of Birth from the Birth Registration office in case the boy has not attended any recognized school. OR (v) In case of Defence Personnel, the date of birth certificate should be from respective Record Office/ OC unit. If the boy was born after discharge, then birth certificate from from Zilla Sainik Board / recognized school countersigned by District Education Officer/ district Inspector School/ birth registration office is required. (c) Domicile Certificate in ORIGINAL issued by District Magistrate/ ADM / SDO of your District as per Appendix ‘A’ attached. (d) Undertaking regarding your willingness to pay full fees as increased from time to time as per format at Appendix ‘B’. (e) An income and Domicile Affidavit (supported by Income Certificate) as per format at Appendix ‘C’ sworn by the father/ guardian of the boy on a non-judicial stamp paper of Rs. 10/- before the first class Magistrate under his signature and office seal. (f) An agreement bond executed by father/guardian in a non-judicial stamp paper of Rs. 20/- and witnessed by a Gazetted Officer as per format at Appendix ‘D’ attached. The date of agreement will be left blank. It will be completed in the school on the day when the Principal would sign it on behalf of the Board of Governors, Sainik School Society. (g) Caste Certificate (for SC/ST candidates only) from the appropriate authority as mentioned in the school prospectus. 6. Although your son will be admitted as a FULL FEE PAYING STUDENT, school has no objection to submit the claim of scholarship to the State government in which you are domiciled. Till receipt of scholarship from the Government, you will have to clear the dues regularly as a full fee paying student. The amount of scholarship, if sanctioned by the State Government, will be adjusted in your son’s account/ refunded. 7. The fees and other expenses payable by you at the time of admission of your son / ward and thereafter are given at Appendix ‘E’ attached. 8. Ex-Service personnel should bring with them their original discharge book for verification. 9. Students are advised not to bring with them any valuable articles such as Gold Chains / Rings, Watches, Camera, Transistor, Video Games, Mobile Phones etc. 10. PLEASE NOTE THAT NO ADMISSION WILL BE MADE IN CASE THE PARENT / GUARDIANS COME WITH IMPROPER / INCOMPLETE CERTIFICATES & DOCUMENTS. LEGAL ACTION MAY BE INITIATED AGAINST PARENTS SUBMITTING FALSE/FORGE DOCUMENTS DURING THE ADMISSION PROCESS. 11. Candidates and their parents / guardians will have to make their arrangements for their stay in Purulia, if necessary. 12. Wishing your child a bright future. 13. Please acknowledge receipt. (Rahul Sharma) Col Principal Enclo: As stated COMMON FOR ALL CANDIDATES Appendix- ‘A’ GOVERNMENT OF______________________ OFFICE OF THE DM/ ADM / SDO _______________________ DOMICILE/ RESIDENTIAL CERTIFICATE Certificate No. Date: This is to certify that Shri _____________________________________ father of Shri ______________________________________residing at Village ______________________, PO: ___________________________, PS: _____________________ Pin Code _____________ Dist: ________________________is a permanent resident / domicile of ____________________ district in West Bengal/ Other state (Name of the State) . This certificate is being issued as prayed for vide his application dated _______________ and shall be treated as valid for purpose of admission of his son Master _________________________ ----------------------------------------at Sainik School Purulia for the session 2015-2016. Passport size Photograph of the candidate attested by the Officer signing the Certificate. (DM/ADM/SDO) (To be submitted at the time of admission, if not submitted earlier) FOR WEST BENGAL & DEFENCE CANDIDATES Appendix- ‘B’ APPLICATION FORM FOR THE GRANT OF WEST BENGAL SCHOLARSHIP/ DEFENCE SCHOLARSHIP TENABLE AT SAINIK SCHOOL PURULIA (WB) (To be filled up by Parents WB State and Defence candidate and submitted at the time of Admission) 1. Name in full : *2. Date of birth : 3. Place of Domicile : 4. Instruction in which the student studied prior to his admission to Sainik School (Medium in which studied) Class to which admitted : 5. 6. Name and present address of parent/ guardian 7. Occupation of parents/ guardians: **8. Annual income of both the parents / guardian from all sources, including personal income, if any, of the student. Whether the student was at any time in receipt of a scholarship from the Govt. of West Bengal or from a private body and continues to do so. 9. DECLARATION BY THE PARENT / GUARDIAN I declare that the above details are true to the best of my information and knowledge. Place: Date : Parent / Guardian of the student ------------------------------------------------------------------------------------------------* Date of birth as entered in the admission register of the previous school or register of birth. ** Supported by an affidavit sworn on 10 Rs. stamped paper before a first class Magistrate FOR OTHER STATE CANDIDATES Appendix- ‘B’ SAINIK SCHOOL PURULIA (WB) UNDERTAKING (To be filled up by Parents of Other State candidates and submitted at the time of Admission) I _______________________________ son of Shri __________________________ House No. ___________________ Village _____________________, Post Office ______________________, Police Station ________________________________ District __________________ State _________ Phone No/ Mobile No. (If any) _____________________________ hereby express my willingness to admit my son / ward Master _____________________________, Roll No. ___________ to Sainik School Purulia (WB), if comes up on the Merit List of Other State Quota, and I am ready to pay Full Fees and other charges for his entire studies in the school. I shall under no circumstances request for transferring my above named son / ward to any other Sainik School once he is admitted in Sainik School Purulia (WB). (Full Signature of Father/ Guardian) Date Full Address :- Witness : Signed in the presence of :- _____________________ (Signature) Name in Full ………………………………………. Full Postal Address : COMMON FOR ALL CANDIDATES Appendix- ‘C’ (To be typed on Rs. 10/- non-judicial stamp paper and attested by Notary Public/ First class Magistrate) INCOME AND DOMICILE AFFIDAVIT I ______________________________________ son of ____________________________ at present residing at _____________________________________________ father / guardian of Master ________________________________________________________ a student of Sainik School Purulia hereby declare on oath that: (a) (b) (c) I am a permanent resident of ______________. My Monthly income from all sources is Rs. _________ That the income of my wife from all sources is Rs._________ OR That my wife has no separate income (Use whichever is applicable) (d) That the income of my son/ ward is Rs. ____________________ per month. OR That my son/ ward have no separate income. (use whichever is applicable) I declare that the above statement is correct to the best of my knowledge and belief. In case the income of myself, my wife and son/ ward be found to be in excess of that stated above. I undertake to refund the entire amount of scholarship awarded to my son/ward together with such other penalty as may be imposed by or under the law. I also undertake to inform the school of any increase in the total income as and when occurs. Deponent Date: Signature of father/ guardian Address FOR WEST BENGAL / DEFENCE CANDIDATES (To be executed on Rs. 20/- non-judicial stamp paper and witnessed by a Gazetted Officer) Appendix ‘D’ AGREEMENT FORM TO BE EXECUTED BY PARENTS/GUARDIANS OF STUDENTS IN RECEIPT OF WEST BENGAL GOVT. / CENTRAL GOVERNMENT SCHOLARSHIP AT SAINIK SCHOOL PURULIA (WEST BENGAL) This Agreement is made this………………………………………..……day of_____2015 between…………………………………………of ……………………………………………(hereinafter called the ‘Guarantor’ which expression shall unless excluded by the context or the meaning thereof be deemed to include his heirs, executors, administrators and legal representation of the one part and the Board of Governors, Sainik Schools Society (hereinafter called the ‘Governors’ which expression shall unless excluded by the context of the meaning thereof be deemed to include the Principal of the Sainik School Purulia of the other part. Whereas……………………………………son of …………………………………………….………… (hereinafter called student) is son/ward of the guarantor and has at the request of the guarantor has been selected for admission to the Sainik School Purulia inter alias, on terms and condition with a view to making the regular Armed Forces, his profession in life, if considered by the appropriate authority to be suitable and if there is any vacancy and if he be selected. Now it is hereby agreed by and between the party’s here-to as follows: That in consideration of the student being admitted by the Governors to the Sainik School for the purpose of the aforesaid education at the request of the guarantor, he, the guarantor covenants with the Governors that the student will attend the Sainik School regularly and will observe and comply with all the rules and regulations thereof for the prescribed for entry to the Regular Armed Forces and that he, the guarantor, shall pay to the Governors regularly and promptly and whenever called upon to do all the fees as prescribed from time to time if he is not in receipt of any scholarship. That if the student fails to pursue his studies at the said school before appearing for selection for entry to any institution as may from time to time be prescribed by the Governors for entry to the regular Armed Forces or fails to appear for the said selection or fails to succeed in the said selection for having been declared successful at the said selection does not proceed for being trained for entry into the regular Armed Forces or having joined the said institution fails to complete the training thereat for entry into the regular Armed Forces or fails to join the regular Armed Forces after completing the training at the said institution then in any such case, the guarantor shall for with pay to the Governors in cash the sum the student has received from the school and to the State Government/Central Government such percentage of the value of the scholarship the student has received for the period he was the said school, as may be decided by the appropriate authority of the school/State Government/Central Government. That if after admission any of the following viz proof of domicile, certificate of age and statement of income supplied by the guarantor shall forthwith pay to the Governors in cash the sum the student has received from the school under the State Government/Central Government (the value of the Scholarship he has received) for period the student was at the said school. Contd…p/2 (2) That if after admission, the student is found to be medically unfit in any way at the time, which might according to the opinion of the appropriate medical authorities, render him unfit for his future entry to the regular Armed Forces, the student will be withdrawn at once, but it would be open to the guarantor to retain him at the school on payment of the full fees prescribed by the Governors from the date the student is found medically unfit. That the Governors will not be liable for any damage/charges on account of injuries which may be sustained by the student at any time during his stay in the school while taking part in sports or other extra-curricular activities of the school. The Governors will accept no liability regarding the result of operation and or administration of anesthesia, which may have to be carried out or administered under medical advice. All expenses that may be incurred on the treatment of such injuries will be borne by the parent/guardian as provided in the rules of the said school. That after admission in the Sainik School Purulia, I will never seek transfer of my ward to other Sainik School on any ground/reason. In the event of any question, dispute or difference arising under this agreement (except as to any matters, the decision of which is specially provided for by this agreement), the same shall be referred to the sole arbitration any officer appointed by the Secretary, Ministry of Law, Government of India, New Delhi , it will be not objection that the arbitrator is a Government servant and that he had to deal with matters to which the contract relates. The award of the arbitrator shall be final and binding on the parties to the contract. In the event of the arbitrator retiring or being unable to act for any reason, it shall be lawful for the Secretary to nominate another arbitrator. Subject as aforesaid the Arbitration Act, 1940 and the rules framed there under and any statutory modifications thereto shall apply to the arbitration proceedings under this clause. In witness whereof………………………………………………….. has set his hand and the Principal, Sainik School Purulia (WB) by order and direction of the Board of Governors has set his hand the year first above written. Signed by father/Mother in the presence of (A Gazetted officer) Signed by Principal, Sainik School Purulia for & on behalf of the Board of Governors, Sainik Schools Society, in the presence of in the presence of FOR OTHER STATE CANDIDATES Appendix ‘D’ (To be executed on Rs. 20/- non-judicial stamp paper and witnessed by a Gazetted Officer) AGREEMENT FORM TO BE EXECUTED BY PARENTS/ GUARDIANS OF FULL FEE PAYING(OTHER STATE) STUDENTS AT SAINIK SCHOOL PURULIA (W.B) This Agreement is made this ………day of. 2015 between…………………………………………of ………………………………………………………(hereinafter called the ‘Guarantor’ which expression shall unless excluded by the context or the meaning thereof be deemed to include his heirs, executors, administrators and legal representation of the one part and the Board of Governors, Sainik Schools Society (hereinafter called the ‘Governors’ which expression shall unless excluded by the context of the meaning thereof be deemed to include the Principal of the Sainik School Purulia of the other part. Whereas……………………………………son of …………………………………………….………… (hereinafter called student) is son/ward of the guarantor and has at the request of the guarantor has been selected for admission to the Sainik School Purulia inter alias, on terms and condition with a view to making the regular Armed Forces, his profession in life, if considered by the appropriate authority to be suitable and if there is any vacancy and if he be selected. Now it is hereby agreed by and between the party’s here-to as follows: That in consideration of the student being admitted by the Governors to the Sainik School for the purpose of the aforesaid education at the request of the guarantor, he, the guarantor covenants with the Governors that the student will attend the Sainik School regularly and will observe and comply with all the rules and regulations thereof for the prescribed for entry to the Regular Armed Forces and that he, the guarantor, shall pay to the Governors regularly and promptly and whenever called upon to do SO, all the fees as prescribed, for education in Sainik School. That if the student fails to pursue his studies at the said school before appearing for selection for entry to any institution as may from time to time be prescribed by the Governors for entry to the regular Armed Forces or fails to appear for the said selection or fails to succeed in the said selection for having been declared successful at the said selection does not proceed for being trained for entry into the regular Armed Forces or having joined the said institution fails to complete the training thereat for entry into the regular Armed Forces or fails to join the regular Armed Forces after completing the training at the said institution then in any such case, the guarantor shall for with pay to the Governors in cash the sum the student has received from the school and to the State Government/Central Government such percentage of the value of the scholarship the student has received for the period he was the said school, as may be decided by the appropriate authority of the school/State Government/Central Government. That if after admission any of the following viz proof of domicile, certificate of age and statement of income supplied by the guarantor shall forthwith pay to the Governors in cash the sum the student has received from the school under the State Government/Central Government (the value of the Scholarship he has received) for period the student was at the said school. Contd…p/2 (2) That the Governors will not be liable for any damage/charges on account of injuries which may be sustained by the student at any time during his stay in the school while taking part in sports or other extra-curricular activities of the school. The Governors will accept no liability regarding the result of operation and or administration of anesthesia, which may have to be carried out or administered under medical advice. All expenses that may be incurred on the treatment of such injuries will be borne by the parent/guardian as provided in the rules of the said school. That after admission in the Sainik School Purulia, I will never seek transfer of my ward to other Sainik School on any ground/reason. In the event of any question, dispute or difference arising under this agreement (except as to any matters, the decision of which is specially provided for by this agreement), the same shall be referred to the sole arbitration any officer appointed by the Secretary, Ministry of Law, Government of India, New Delhi, it will be not objection that the arbitrator is a Government servant and that he had to deal with matters to which the contract relates. The award of the arbitrator shall be final and binding on the parties to the contract. In the event of the arbitrator retiring or being unable to act for any reason, it shall be lawful for the Secretary to nominate another arbitrator. Subject as aforesaid the Arbitration Act, 1940 and the rules framed there under and any statutory modifications thereto shall apply to the arbitration proceedings under this clause. In witness whereof………………………………………………….. has set his hand and the Principal, Sainik School Purulia (WB) by order and direction of the Board of Governors has set his hand the year first above written. Signed by father/Mother in the presence of (A Gazetted officer) Signed by Principal, Sainik School Purulia for & on behalf of the Board of Governors, Sainik Schools Society, in the presence of in the presence of Appendix ‘E’ SAINIK SCHOOL PURULIA FEES PAYABLE AT THE TIME OF ADMISSION & THEREAFTER SESSION 2015 – 16 1. Ser No. 1. School Fees and diet charges for 05 months: (Jul to Nov 2015) General SC/ST Caution Money (Refundable) General SC/ST 2. 3. 4. 5. 6. 2. Fee Payable at the time of Admission Particulars Clothing charges Pocket Money Sundry charges Personal Clothing to be issued by school. Total : General SC/ST - Fee Payable on or before 08 Nov 2015 (Fees & diet charges from Dec 2015- April 2016) 43,445.00 43,445.00 43,445.00 43,445.00 3,000.00 1,500.00 --- 1,500.00 1,500.00 6,000.00 19,000.00 ----- 74,445.00 72,945.00 43,445.00 43,445.00 Scholarship rates : (Subject to grant of Scholarship by concerned Government) (a) State Scholarship: Parents income upto Rs.80,000.00 per annum Parents Income from Rs. 80,001.00 to Rs. 1,20,000.00 Parents Income from Rs. 1,20,001.00 to Rs.1,60,000.00 Parents Income above Rs.1,60,001.00 (b) Ministry of Defence Scholarship: Type of Scholarship (c) – Full Scholarship (100%) – 75% Scholarship – 50% Scholarship -- Nil Serving Defence Personnel Ex- Servicemen Full NCOs & Ors NCOs & Ors Rate of Scholarship (Annually) Rs. 32,000.00 Half JCOs JCOs Rs. 16,000.00 ----- Officers Officers Nil Ministry of Defence Subsidy- Rs. 15,000/- (approx) per cadet / year Note : (i) As per rules, draft should be deposited in the Account Section of the school against receipt. Fees deposited with any of the staff members for remittance to the school will be at the risk and responsibility of the parents. All payments should be made as per instruction given above. (ii) Payment in cheque will not be acceptable. Payment should always be made in exact figure by Demand Draft drawn in favour of “Principal, Sainik School Purulia”drawn on SBI Purulia, Code No.0160. Fees collection days are Monday, Wednesday and Friday only. Appendix –“F” SAINIK SCHOOL PURULIA SESSION 2015-16 (A) THE FOLLOWING ITEMS ARE TO BE BROUGHT BY THE PARENTS AT THE TIME OF ADMISSION Ser. 1 2 3 4 5 6 7 8 9 10 Items Tooth brush Tooth paste (200gm) Washing powder (500gm) Washing soap (200gm) Clothes clip Telcom powder (200gm) Pencil box- plastic Robin blue (200gm) Liquid hand wash –Dettol (225ml) Soap toilet- 75gm Qty 01no. 01tube 01pkt 01no. 12nos. 01tin 01no. 01pkt 01bott. 02nos. (B) A TOTAL OF RS.20,000/- (RUPEES TWENTY THOUSAND) TO BE DEPOSITED IN THE SCHOOL AT THE TIME OF ADMISSION FOR CLOTHING AND SPOT SALE ITEMS. Ser. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Items Athletic vest Bed cover green Bed sheet white Belt Mufti Handkerchief Jersey (full) Jersey (Half) Mattress coir foam Monogram Mosquito net nylon-single Name tabs Pillow covers Pillow foam PT Shoe -white Scarf School bag (Jr) School cap Shirt sky blue (TC) – Full sleeves Shirt white (TC) – Full sleeves Shoe leather - Black Short black (TC) Sleeping suit Socks blue - nylon Socks white - nylon Towel bath Track suit Trouser steel gray (TC) Trouser white (TC) T- Shirt (games vest) Qty 02nos. 03nos. 02nos. 01no. 06nos. 01no. 01no. 01no. 02nos. 01no. 03nos. 03nos. 01no. 02pr. 01no. 01no. 01no. 03nos. 02nos. 01pr. 03nos. 03set 03pr 03pr 02nos. 01no. 03nos. 02nos. 03nos. (C) LIST OF CLOTHING ITEMS ISSUED TO THE BOYS (NEW ENTRANTS) AGAINST CLOTHING CHARGES (RS.1500/- APPROX) PROVIDED BY SCHOOL Ser. 1 2 5 3 4 7 6 8 9 Items Belt school Cap badge metal Cap barret Hackles red House pips Shirt khaki (TC) Short khaki (TC) Stockings Tie school Qty 01no. 01no. 01no. 02nos. 02pr. 03nos. 03nos. 03pr. 01no. (D) FOLLOWING MISC. ITEMS (SPOT SALE) WILL BE PROVIDED FROM THE SCHOOL BY THE APPROVED CONTRACTOR OF SCHOOL ON PAYMENT (PERSONAL CLOTHING CHARGES) AT THE TIME OF ADMISSION Ser. Items Qty 1 Adhesive (gum/fevicol) 01 tube 2 Blanket (Raymonds) 01 no. 3 Brown paper-Laminated sheet 50 nos. 4 Bucket plastic – 15ltr. 01 no. 5 Buttons (Khaki/Steel gray/white) – one dozen each 04 doz 6 Cello tape – 20mtr. 01 roll 7 Drawing copy 01 no. 8 Drawing sheets / chart papers (white and colour) 12 nos 9 Eraser – Non-dust 06 nos. 10 Football boot 01 pr 11 Geometry box 01 no. 12 Glass (stainless steel) 01 no. 13 Hand towel 02nos. 14 Hanger – Plastic 06 nos. 15 Key ring with chain 01 no. 16 Lock medium size - with 02 keys 05nos. 17 Marker pen 01 no. 18 Mosquito rope – 10mtr. 01 no. 19 Mug plastic – 01 ltr, 01 no. 20 Nail cutter 01 no. 21 Name stickers 04 sheets 22 Needles – (3 sizes) 06 nos. 23 Pastel colour - Camel 01 pkt 24 Pencil – 2B, 4B, 6B (2 each) 06nos. 25 Safety pins 02 doz 26 Scale plastic – 12inches 01 no. 27 Scissor (small) 01 no. 28 Shoe brush-black 01 no. 29 Shoe polish – Kiwi liquid 01 bot. 30 Sketch pen (10nos) 01 pkt 31 Sleeper (Bathroom) – Bata hawai 01 pr 32 Soap case - plastic 01 no. 33 Thread (Khaki/gray/white) -01roll each 03 rolls 34 Torch – 2 cell - Eveready 01 no. 35 Trunk steel 01no. 36 Umbrella (Gents, colour –black) folding 01 no. 37 Underpant 06 nos. 38 Vest sandow white 06 nos. COMMON FOR ALL CANDIDATES Appendix –“G” (To be filled up by the candidate) UNDERTAKING BY THE CADET 1. I _____________________________(full name of student with admission / registration / enrolment number ) S/o Shri/ Smt ___________________________________, having admitted to Sainik School Purulia am fully aware of what constitutes ragging. 2. I am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty of indulging in or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 3. I hereby solemnly aver and undertake that (a) I will not indulge in any behavior or act that may be constituted as ragging. (b) I will not participate in or abet or propagate through any act of commission or omission any act that may be constituted as ragging. 4. I hereby affirm that, it found guilty of ragging, I am liable for punishment without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force. 5. Declare this ___________ day of _________________month of _____________year. ________________________ (Signature of deponent) Name : VERIFICATION Verified that the contents of this undertaking are true to the best of my knowledge and no part of the same is false and nothing has been concealed or misstated therein. Verified at ___________________________ (place) on this the _________(day) of ________ (month), __________ (year) _______________________ Signature of deponent COMMON FOR ALL CANDIDATES (To be executed on Rs. 10/- non-judicial stamp paper and witnessed by a Gazetted Officer) Appendix—“H” AFFIDAVIT BY PARENT / GUARDIAN 1. Mr/Mrs/Ms ___________________________________(full name of the parent / guardian) father / mother / guardian of _________________________ Roll No. ______having admitted to Sainik School Purulia. 2. I am fully aware of what constitutes ragging. 3. I am fully aware of the penal and administrative action that is liable to be taken against my word in case he is found guilty of indulging in or abetting raging, actively or passively, or being part of a conspiracy to promote ragging. 4. I hereby solemnly aver and undertake that (a) My ward will not indulge in any behavior or act that may be constituted as ragging. (b) My ward will not participate in or abet or propagate any act of commission or omission that may be constituted as ragging. 5. I hereby accept that, if found guilty of ragging, my ward is liable for punishment without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force. 6. I hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on account of being found guilty of abetting or being part of a conspiracy to promote, ragging and further affirm that, in case of declaration is found to be untrue, the admission of ward is liable to be cancelled. Declared this _____ day of ______ month of ______ year. ______________________ Signature of deponent Name : Address: Telephone No/ Mobile No. VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (place) on this the (day) of (month), (year). ______________________ Signature of deponent Solemnly affirmed and signed in my presence on this the (day) of (month) (year) after reading the contents of this affidavit. OATH COMMISSIONER
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