Risa Higher Secondary School Lumbatngen, Law-U-Sib, Law Sib, Shillong website : www.risaschool.in Email ID : [email protected] Contact Number : +919863064919 CLASS – XI ADMISSION FORM BOARDER DAYSCHOLAR PHOTOGRAPH OF THE STUDENT COURSES AND SUBJECTS APPLIED FOR [ MARK WHERE APPLICABLE ] SCIENCE [ ] COMMERCE [ ] ARTS [ ] ENGLISH ENGLISH ENGLISH ALT. ENGLISH/KHASI ALT. ENGLISH / KHASI ALT. ENGLISH / KHASI PHYSICS ACCOUNTANCY POLITICAL SCIENCE CHEMISTRY BUSINESS STUDIES EDUCATION BIOLOGY ECONOMICS HISTORY COMPUTERS MATHEMATICS COMPUTERS/ COMPUTERS / ENTERPRENURSHIP ECONOMICS WRITE IN BLOCK LETTERS 1. NAME OF THE STUDENT : ________________________ FIRSTNAME _____________________ MIDDLE NAME 2. DATE OF BIRTH : DAY : _____ 3. NATIONALITY : ___________________ 5. FATHER’S NAME (FULL) : MONTH: __________ _________________ LAST NAME YEAR: ______ __________________ ____________ 4. RELIGION : _________________ ________________________________________________ _________________________________________________ OCCUPATIONS : ________________________________________________ _________________________________________________ CONTACT NUMBERS : OFFICE : ______________ RESIDENCE : ________________ _____________ MOBILE _____________________ MOBILE: _____________________ 6. MOTHER’S NAME (FULL) OCCUPATIONS CONTACT NUMBERS : 7. GUARDIAN’S FULL NAME : ______________________________________________ ______________________________________________ : ______________________________________________ ______________________________________________ OFFICE : ______________ MOBILE: ______________ RESIDENCE : _____________ : __________________________________ ______________________________________________ ____________ : __________________________________ ______________________________________________ ____________ [IF NEITHER PARENTS ARE LIVING] FULL ADDRESS __________________________________ ______________________________________________ ____________ MOBILE No. : ______________ ______________ PHONE No.: __________ EMAIL ID : ____________________________________ ____________________________________ 8. NAME AND ADDRESS OF PREVIOUS SCHOOL ___________________________________________________________________________ ___________________________________________________________________________ 9. Respected Sir, I request admission to Risa Higherr Secondary School, Lumbatngen, Law Law-U-Sib, Shillong. Shillong I promise to obey obey all the rules and regulations egulations of the school to the satisfaction of the school authorities and to abide by the terms and conditions as to admission, promotion and payment of school fees. I also promise to keep myself Smoke free, Drug free and Violence free. f ______________________________ __________________________ SIGNATURE OF THE PARENT/GUARDIAN SIGNATURE OF THE STUDENT _____________ DATE THE FOLLOWING DOCUMENTS ARE TO BE SUBMITTED ALONG WITH THIS APPLICATION [A] TWO PASSPORT SIZE PHOTOGRAPH [B] MARKSHEET OF CLASS – X [C] ADMIT CARD [D] CHARACTER CERTIFICATE [E] GAMES AND ACTIVITIES CERTIFICATES PLEASE DONOT SUBMIT ANY OTHER ORIGINAL CERTIFICATES IF ADMITTED : ATTESTED COPIES OF [A] TWO COPIES OF BOARD MARKSHEET [B] PASS CERTIFICATE [C] ORIGINAL TRANSFER CERTIFICATE THE SCHOOL DOES NOT TAKE ANY RESPONSIBILITY TO RETURN DOCUMENTS ONCE SUBMITTED