Application Form for Admission Class I

Year : 2019-20 Form Number : 920

Payment Transaction Number 912535001538587819

Applicant's Name ARYAN MAITI

Second Language opted for (cannot be changed later) Bengali

Date of Birth 13-03-2013

Name and address of present (or current) School DON BOSCO, LILUAH
109, ABHAY GUHA ROAD, LILUAH, HOWRAH, WEST
BENGAL 711204

Nationality INDIAN Mother Tongue Bengali

Religion Hinduism Category General

Brothers (not cousins) enrolled in SXCS 0

Father's Name BIPLAB MAITI

Contact Number 7980660471

Profession Police

Organisation’s Name WEST BENGAL POLICE

Organisation’s Address 28,Nityadhan Mukherjee Rd, Howrah, West Bengal

711101

Member of ALSOC No

Mother's Name TANUSRI MAITI

Contact No. 8777462951

Profession House Wife

Organisation’s Name N/A

Organisation’s Address N/A

Parents' Residential Address 64/1, G.T. ROAD, SALKIA, HOWRAH

Parent's state of domicile West Bengal

Family’s Annual Income 5,00,000 Pincode 711106

Email Address tanusri.maiti86@gmail.com

Aadhar Number of Father or Mother 3172-6276-2563

Verification Date
Date : 22.11.2018 Thursday Time : 4:00 pm - 5:30 pm Venue : St. Xavier’s Collegiate School (Primary
Section) 12 A Wood Street, Kolkata 700 016 (entrance from Short Street)

https://www.sxcsadmissions.in/admission-form 03/10/2018 11:02pm

 Application Form for Admission Class I
Year : 2019-20 Form Number : 920

Payment Receipt

Payment Transaction Number 912535001538587819

Payment Status Your transaction has been successful!

Candidate's Name ARYAN MAITI

Father's Name BIPLAB MAITI

Mother's Name TANUSRI MAITI

Date of Birth 13-03-2013

Contact Number 7980660471

Email Address tanusri.maiti86@gmail.com

Transaction Amount Rs.500.00

https://www.sxcsadmissions.in/admission-form 03/10/2018 11:02pm