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Children are not Vessels to be filled , but lamps to be lit.( Swamy Chinmayanandaji)

 

School Images a Prospectus d Admission Form Pujya Guruji  
 
  • CHINMAYA VIDYALAYA
  • P.O.:THERUBALI-765018
  • Dist.-Rayagada(Orissa)
  • (Affiliated to C.B.S.E.,New Delhi)
N.B:Issue of form does not imply admission which is subject to admission test and avilability of seat.Registration fee rs 150/-once paid is not rerundable.
Student Name
*
Date of Birth
*
Pressent Address
Permanent Address
*
Phone No
*
Nationality
Indian Non - Indian *
Mother Tongue
*
Gender
Male Female*
Whether belongs to
SC ST PH UR *
Name of the Board passed
Year of Passing
Name of the Institution He/She Passed
Mark Secured in %
English(A/B)

Hindi(A/B)

Mathematics

Science

Social Science

Oriya/Telugu

Sanskrit

Optional

Extra Optional
 
Outstanding achievement in Sports/Co-Curicular activities If any
Father's/Guardian's Name
*
Father's/Guardian's Designation
Father's/Guardian's Name Qualification
Father's/Guardian's Name Official Address
Father's/Guardian's Name Residental Address
Annual income Rs.
*
If you are selected,whether you will stay withlyour legal guardian/Hostel
Parent Legal guardian Hostel *
Select any five Subjects
English Hindi Physics Chemistry Biology Mathematics Physical Education Computer Science
DECLARATION OF THE PARENT  
I certify that I am the bonafide guardian of the child and information furnished above is correct to best of my knowledge in the event of my ward being admitted to the school, I will abide by the school's rules and procedures in all respects .I do understand that decission of the principal shall be final and binding on me.

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