Uran Education Society

Uran Education Society Admission Form

(Application form for Admission to Std. XI & XII)

I. As per S.S.C. Marksheet.

Stream *

Initial *

Surname *

First Name *

Father's Name *

Mother's Name *

Email Address *

Mobile No. (Whatsapp No.) *

Student's Photo
150KB file size allowed

Father's Photo
150KB file size allowed

Mother's Photo
150KB file size allowed

II. Date Of Birth

Date of Birth [ In Figures ] *

Date of Birth [ In Words ] *

III. Address Details

Address [Present] *

Address [Permanent]

IV. Other Details

Aadhar Card Number *

Nationality *

Religion *

Caste *

Sub Caste

Category *

V. Information : Father's /Guardian's Name & Address

Name*

Address *

Telephone No.*

Relation*

Age*

VI.

Mother Tongue*

Domiciled in State*

Belong to State*

Approx Income*

Employee

Place of Employment

Business

Place of Business

Contact No*

VII. Details of marks subjectwise at S.S.C, / Std. XI
Please Fill Subjects and Marks as per the Marksheet

SSC

Std XI

Sr. No. * Subject * Marks Obtained * Out of *

Percentage

Passed in Attempt

First

Second

Later

Last school attended *

School Name *

VIII. Subjects Offered for F.Y.J.C and S.Y.J.C

Science Compulsory Subject *

English
Physics
Chemistry
Biology Maths EVS PT

Commerce Compulsory Subject *

English
Economics
O.C.M.
B.K. and Accts EVS PT

Optional Subject *

IX. Payment Mode

Payment Mode *

Bank Details
ACCOUNT NAME: URAN EDUCATION SOCIETY TRUST
ACCOUNT NUMBER: 498902010995422
BANK NAME: UNION BANK OF INDIA
BRANCH: URAN
IFSC CODE: UBIN0549894
Please pay Rs.250 to the above mentioned Bank account and mail the Transaction Id, Transaction Date, Bank Name to - uesadmission20@gmail.com. And Submit the form to the school office.

Please Download the PDF Form and visit School office for payment along with the form.

X. Checklist of the documents attached

Photocopy of Marksheet of S.S.C / Std. XI
Photocopy of Leaving Certificate
Photocopy of Caste Certificate

AFTER CLICK ON SUBMIT BUTTON DOWNLOAD PDF FORM FOR YOUR RECORD