+91 9926263466 manavjankalyansanstha@gmail.com

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Bhagwati Ashray Grah Residential School for Deaf & Mute Children Gautam Gaushala & Treatment Centre Rescue & Rehabilitation Services

Mission Contact Form 1 Form 2 Donate Now

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Home About Us Our Programmes Bhagwati Ashray Grah Residential School for Deaf & Mute Children Gautam Gaushala & Treatment Centre Rescue & Rehabilitation Services Mission Contact Form 1 Form 2

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Form 2

School Admission Form

Admission application for Mook Badhir Residential School, Datia.

Admission & Student Details

Academic Session Year *

Student Name *

SSSM ID Number

Student Aadhaar Number

Mother's Name *

Father's / Husband's Name *

Family S.M.I.D. Number

Father's Occupation

Father's Annual Income

Complete Address *

Mobile Number *

Guardian & Birth Details

Local Guardian Name

Local Guardian Address

Local Guardian Mobile

Date of Birth (in figures) *

Date of Birth (in words) *

Caste Category *

Previous Education Details

Class Seeking Admission *

Previous School Name

Transfer Certificate Attached?

YesNo

Transfer Certificate

JPG, PNG or PDF · Maximum 2MB

Last Class Passed

Student Bank Details

Bank Name

Bank Account Number

IFSC Code

Disability & Communication Details

Disability Type *

Disability Percentage *

Disability Certificate *

JPG, PNG or PDF · Maximum 2MB

Communication Mode

SpeechSign LanguageBoth

Hobbies / Interests

Disability in Family (details)

Disability Since

Since BirthAfter Birth

Residence Type *

HostellerDay Scholar

Transport Required?

YesNo

Parent / Guardian Declaration

Parent / Guardian Signature *

JPG, PNG or PDF · Maximum 2MB

Requested Admission Date

I confirm that the information is correct and consent to its use for organisation-related communication.

Manav Jan Kalyan Sanstha

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Contact

+91 9926263466
manavjankalyansanstha@gmail.com
Bhagwati Ashray Grah Rajiv Nagar, Nagra, Jhansi