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ANANDA SAMVRDDHI VIDYA PIITHA (ASVP)

Secondary Day Boarding & Residential
English Medium School
Kumudapali , Jharsuguda , Odisha - 768201
Email: anandasamvrddhividyapiitha@gmail.com
Application No.
Name Of The Student:
(Please fill in BLOCK letters)*
Select the class to which admission is sought:*
Father:
Mother:
Name:*
Occupation:*
Qualification:*
Upload Photo:
Date of Birth:*
Sex:*
Male
Female 		Mother Tongue:*
Category: Nationality:*
Aadhar No.:
Parent's Permanent Address *
Name Of Local Guardian & Address
Annual Income Of Parents:*
Name & Address Of Previous School
Declaration Of The Parents / Guardian
I certify that the above information is correct and documentary proof attached is genuine.I shall abide by all the rules and regulations of school and shall be responsible of my ward's disciplinary behaviour.
Date :*
Under Taking By The Parents
(a) The original of the following dicuments will be submitted positively by
(b) I Promise that my ward will attend class regularly and in case of illness/absence , prior , intimation shall be submitted to the principal.
Note:-  At the time of admission , birth certificate will be accepted up to Classes I & Classes II and above only T.C. from recognised school will be accepted.