SCHOOL ADMISSION FORM

		ST. EUGENE HIGHER SECONDARY SCHOOL (E.M) - BODA Village:- Boda, Block:- Batauli, Via:- Batauli-Bagicha Rd, PO:- Bilaspur, Dist:- Surguja, PIN:- 497101 - CG. UDISE Code:- 22020202407 ; HS Code:- 752062; English Medium; Co-Ed., Minority Mission School Mobile No.- 9669273194; Email: seemsboda@gmail.com; Web: www.eugeneschoolboda.com
Class:*

ST. EUGENE HIGHER SECONDARY SCHOOL (E.M) - BODA

Village:- Boda, Block:- Batauli, Via:- Batauli-Bagicha Rd, PO:- Bilaspur, Dist:- Surguja, PIN:- 497101 - CG.
UDISE Code:- 22020202407 ; HS Code:- 752062; English Medium; Co-Ed., Minority Mission School
Mobile No.- 9669273194; Email: seemsboda@gmail.com; Web: www.eugeneschoolboda.com

Class:*

Student Name:*
Date of Birth:*
Gender:*		Blood Group:*
Aadhaar No.:

Student Name:*

Date of Birth:*

Gender:*

Blood Group:*

Aadhaar No.:

Nationality:*		Religion:*
Caste:*		Category:*
State:*		District:*
Pin Code:*

Nationality:*

Religion:*

Caste:*

Category:*

State:*

District:*

Pin Code:*

Select Stream/Subjects:*

Father's Name:*
Mother's Name:*
Guardian's Name (if any):
Father's Profession:*
Mother's Profession:*
Sister / Brother studying in this School. If Yes, Name:
Admission No.:	Class:	Section:

Father's Name:*

Mother's Name:*

Guardian's Name (if any):

Father's Profession:*

Mother's Profession:*

Sister / Brother studying in this School. If Yes, Name:

Admission No.:

Class:

Section:

Full Address:*
Mobile No.:*		WhatsApp No.:*
Email ID:

Full Address:*

Mobile No.:*

WhatsApp No.:*

Email ID:

I, the Father/Guardian of the student, hereby declare that all the details provided are true to the best of my knowledge, and I am responsible for rectifying any document discrepancies if required.
Note: Conveyance mode is the responsibility of the one seeking for Admission.

SCHOOL ADMISSION FORM

ST. EUGENE HIGHER SECONDARY SCHOOL (E.M) - BODA

1. Student Information

Personal Info

Do you have previous school details?

Class and Stream

5. Parents/Guardian Details

6. Address & Contact Details

7. Declaration:*