SHAHAJI CHHATRAPATI MUSEUM TRUST's

Chhatrapati Shahu Vidyalaya

New Palace Area,Kolhapur-416003. Tel: 2664184/ 8669630988

Website-www.csvcbse.net, Email-csvschooloffice@gmail.com

APPLICATION FORM FOR STD 1st TO 10th

  SECTION : *   Admission Year : *

  CLASS : *         APPLICATION DATE : *

  STUDENT's FIRST NAME : *    SURNAME: *

  FATHER's FIRST NAME : *   MOTHER's FIRST NAME : *

  RELIGION : *      CASTE :       SUB CASTE :

  CATEGORY : *    MOTHER TONGUE : *    DATE OF BIRTH:*

  DATE OF BIRTH IN WORDS:*    GENDER:  *

  PLACE OF BIRTH : *    DISTRICT :

  HEIGHT IN CM : *               WEIGHT IN KG : *               BLOOD GROUP : *

  AADHAR CARD NO.: *

  SARAL ID:

  RESIDENTIAL ADDRESS: *

PIN CODE:                   RESIDENTIAL PHONE NO.:            NUMBER FOR SMS SERVICE.: *

                                                           FATHER's/GUARDIAN's DETAILS

  EDUCATION: OCCUPATION: ANNUAL INCOME :

  OFFICE ADDRESS:

  MOBILE NO.: * EMAIL-ID:   AADHAR CARD NO.: *

                                                           MOTHER's/GUARDIAN's DETAILS

  EDUCATION:   OCCUPATION: ANNUAL INCOME:

  OFFICE   ADDRESS:

  MOBILE NO.: EMAIL-ID:   AADHAR CARD NO.: *

  LAST SCHOOL ATTENDED
(if any):

  LAST CLASS ATTENDED          LAST SCHOOL AFFILLIATED TO :

  TC/LC DETAILS- TC/LC NO.:          DATE OF ISSUE :

  SIBLING DETAILS: NAME AGE SCHOOL STUDYING IN





SINGLE GIRL CHILD :       Yes No SPECIALLY ABLED (DIYANGJAN) :      Yes No BELONGING TO EWS :      Yes No

SECOND lANGUAGE
Marathi Hindi Sanskrit

Marathi Sanskrit

  ADMISSION RECOMMENDED BY

To confirm your admission kindly pay fees by CASH/ CHEQUE/ IMPS/ RTGS directly in Central Bank of India, Laxmipuri branch, Kolhapur. Account No : 1715673332 , IFSC Code : CBIN0280645. Swiping facility is also avilable at school office.

I agree to abide by the rules & regulations of the school. Certified that,above statement is correct to the best of my knowledge.

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CLASS : *	APPLICATION DATE : *
STUDENT's FIRST NAME : *	SURNAME: *
FATHER's FIRST NAME : *	MOTHER's FIRST NAME : *
RELIGION : *	CASTE : SUB CASTE :
CATEGORY : *	MOTHER TONGUE : * DATE OF BIRTH:*
DATE OF BIRTH IN WORDS:*	GENDER: *
PLACE OF BIRTH : *	DISTRICT :
HEIGHT IN CM : * WEIGHT IN KG : * BLOOD GROUP : *
AADHAR CARD NO.: *
SARAL ID:
RESIDENTIAL ADDRESS: *
PIN CODE: RESIDENTIAL PHONE NO.: NUMBER FOR SMS SERVICE.: *
FATHER's/GUARDIAN's DETAILS
EDUCATION:	OCCUPATION: ANNUAL INCOME :
OFFICE ADDRESS:
MOBILE NO.: *	EMAIL-ID: AADHAR CARD NO.: *
MOTHER's/GUARDIAN's DETAILS
EDUCATION:	OCCUPATION: ANNUAL INCOME:
OFFICE ADDRESS:
MOBILE NO.:	EMAIL-ID: AADHAR CARD NO.: *
LAST SCHOOL ATTENDED (if any):
LAST CLASS ATTENDED	LAST SCHOOL AFFILLIATED TO :
TC/LC DETAILS- TC/LC NO.:	DATE OF ISSUE :
SIBLING DETAILS:	NAME AGE SCHOOL STUDYING IN


SINGLE GIRL CHILD : Yes No SPECIALLY ABLED (DIYANGJAN) : Yes No BELONGING TO EWS : Yes No
SECOND lANGUAGE	Marathi Hindi Sanskrit Marathi Sanskrit
ADMISSION RECOMMENDED BY
To confirm your admission kindly pay fees by CASH/ CHEQUE/ IMPS/ RTGS directly in Central Bank of India, Laxmipuri branch, Kolhapur. Account No : 1715673332 , IFSC Code : CBIN0280645. Swiping facility is also avilable at school office.
I agree to abide by the rules & regulations of the school. Certified that,above statement is correct to the best of my knowledge.
Enter Captcha: Can't read the image? click here to refresh
Back