Tulsi Vidya Niketan, Varanasi |

Your Stream
Roll No
Date of Applicatioin
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^* :

DECLERATION BY THE PARENTS

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.

Admission Form For 11^th Class

Details of Parents / माता-पिता का विवरण:-

Apply Today to Conservatory

Info Admission Inquiries

(0542) 2367615, 2985134

Email

Admission Form For 11th Class

Details of Parents / माता-पिता का विवरण:-

Apply Today to Conservatory

Info Admission Inquiries

(0542) 2367615, 2985134

Email

Admission Form For 11^th Class