Professional Documents
Culture Documents
25/-
Affix latest
ph otogra ph
Sr. No.
2015 /
To
The Principal
SC
ST
OBC
GEN
___________________________________________
Sir/Madam,
I request you to admit my son/daughter/ward to class __________ of your school under ND-_____ category (parent is
requested to enclose appropriate documents as proof of belonging to specific category). The required particulars are given below:
1.
Name of the pupil in full
Surname
First Name
Middle Name
(in block letters and as stated in the Birth
Certificate)
2
Date of birth
In figures
In words
D
M
Y
3
Place of birth
4
5
6
7
8
9
10
11
12
13
14
15
Village:
Dist.:
Taluka:
State:
Gender
16
17
18
19
20
1.
2.
21
(Dealing Assistant)