PRATIBHA PUBLIC SCHOOL

(UNDER ARYABHATTA EDUCATIONAL & SOCIAL ENHANCEMENT TRUST)
Affiliated To CBSE New Delhi, Upto (10+2) Level
Affiliation No. 330788

Sant Colony, S.D.O Court, P.O-B.M.P-7, Katihar, Bihar-854106
Administrative Office : Near North Bihar Gramin Bank, Mirchaibari, Katihar

		DATE* :
NAME OF THE STUDENT* :
DATE OF BIRTH* :
MOTHER'S NAME* :
FATHER'S NAME* :
ADDRESS* :
PHONE NO.* :
RELIGION* :
NATIONALITY* :
CATEGORY* :			OBC/SC/ST/General
GENDER* :			Male/Female
HANDICAPPED* :			Yes/No
ONLY CHILD* :			Yes/No
ANNUAL INCOME OF FATHER :
PHOTO* :
CLASS SOUGHT FOR* :
PREVIOUS SCHOOL DETAILS* :
STUDENTS'S SIGNATURE
PARENT'S/GUARDIAN'S SIGNATURE
HEALTH CERTIFICATE
BIRTH/TRANSFER CERTIFICATE
PREVIOUS GRADE CARD