SCHOOL "%x*° —— SHILLONG -793001, MEGHALAYA B : 2223039 Please attach a passport size hotegraph Request for Admission into Class 20, presen ee Category : BOARDER / DAY SCHOLAR Gir’s Name in Full (BLOCK LETTERS) Date of Birth : Year Month, Date Enclose copy of birth certificate : ( countersigned by the Municipal Board /Public Health Centre ‘Community Health Centre) (a) Caste / Community ee ee ee (b) Nationality (c) Whether SC/ST/OBC/ if so, give particulars (Attested copy of certificates from competent authority in support of their claim to be attached) (d) School Last attended. (Certificate to be enclosed) PennaneritResidentalAddiess pe PARRS RE Tyke ER wn op mee Ae Tee cy atipe tN erve hF ga e a eet Ocaipation/ Designation’: < euewa et oto eee et, Nye + Fathers OMictal Ad drone si Sets eG Ne ee Rae en Cie AE Beers ee SW Phone! Town PO. District Gate ee eae Mothers Naine in EgWeS eS SO LA ic Sn a ees Yee Occupation! Designations 25S al sakii eS SANE ode HE esi Mother’ Official Addis oi ie ae ee re ‘Town. PO. District Sonnemlpe ee areaINDEX NO. ; ADMIT CARD i 1 FOk THE INTERVIEW 1, Fill in the Application Form and return it to the School on or before the 20 2. The charge for the Application Form is Rs. 3. For Admission into K.G., the child should be 5 years old or 5 + as on 1St March sbut she should be less than 6 years. 4. This Form once accepted cannot be taken back nor can the fee be refunded. 5. Parents are to be present on the day of the interview. 6. Kindly find out from the School Office the results of the interview. 7. There will be Interview for Class K.G. only. 8. This Admit Card should be produced on the day of the interview. Interview date SD/- PRINCIPAL PINE MOUNT SCHOOL SHILLONG