ONLINE APPLICATION FORM
(Session)
Reach Us: 743 - 9690576
Please mail us at : sudhirmemorial@gmail.com
(Submission of this form does NOT guarantee Admission)
Student Passport Size Photo.
(png/jpg) *
Please bring a family photo along with the physical form while you come for admission to the school.
Family Passport Size Photo. (png/jpg)
PERSONAL DATA OF STUDENT (Yellow fields are Mandatory)
Application Number*
Candidate Name*
Admission Required for Class*
Date of Birth *
Age (as on 31st March)
Place of birth of student (city,district,state)
Height or Weight: Blood Group*:
Caste * (In case of OBC/SC/ST cast certificate has to be furnished) Religion: Gender: Male Female
Aadhaar Card/ ENROLMENT Number* Mother Tongue
Languages Spoken at Home Student's Nationality
Parent's Account Number with IFSC code Student's Account Number with IFSC code
Sibling Details
S.No. Name of Sibling Age School/ College Class
1
2
RECORD OF PREVIOUS CLASSES ATTENDED
S.No. Name of School Address of School Class Year Board CBSE/ICSE/State Medium of Instruction % of Marks in last Class Passed
From To From To
1
2
Why do you wish to enroll your child in S.M.I.?
a) Transfer Case f) Parental Engagement
b) Integrated Curriculum at all levels g) Siblings
c) Visibility of S.M.I. h) Programmes at S.M.I.
d) Co-Curricular activities at S.M.I. i) Sports activities offered at S.M.I.
e) Not satisfied with the previous School j) Nearness to place of residence / House
k) Any other
Status of Health (tick if any) attach relevant medical documents
Physical Disability Past Illness Chronic Medical Problem
Mental Illness Allergy Any Others
Details
Achievements In Academic/Sports/Co-Curricular Field
S.No. Field Year Event Details Of Prizes/Award/Position
1
2
3
PARTICULARS OF FAMILY
Particular Name Aadhaar Qualification Occupation Annual Income Contact No. Email ID
Father
Mother
Local Guardian (Relation with Child)
Local Address Permanent Address Local Guardian's Address
How did you come to know about S.M.I.?
A) Radio H) Pamphlets
B) Neighbour I) Television
C) News Paper J) Facebook
D) Website K) Google Advertisement
E) Hoarding L) Word of Mouth
F) Sibling M) Alumni
G) Friends N) School Exhibition
O) If any other, please specify
The following documents to be submitted at the time of admission, failing which the admission stands cancelled-
A) Photocopy of Birth Certificate E) Transfer Certificate in original
B) Photocopy of Address Proof (Ration card/ telephone bill/ gas connection/ electricity Bill) F) Photocopy of Aadhaar Card
C) Photocopy of Last 2 years Report Card (For class 2 and upwards) G) Medical Report (If Any)
D) 01 no. 6x4cm Family Photo H) In Case of OBC/SC/ST. relevant attested documents
I) Disability Certificate (if any)
Original TC and Photocopy of Mark Sheet of previous class to be submitted within 10 days of beginning of the new academic session, for which the admission of your ward has been sought for.
SUBJECTS TAKEN
English Hindi Bengali Physics
Chemistry Biology Mathematics Accountancy
Business Studies Economics Sanskrit History
Sociology Political Science Geography Computer Science
Informatics Practice Home Science Physical Education Commercial Arts
Entrepreneurship Psychology Science EVS
Social Science      
UNDERTAKING
We hereby certify the following :
a) The information furnished above is correct and complete to the best of our knowledge.
b) We understand that there are constraints of vacancy in each class and admission cannot be confirmed by mere registration.
c) We understand and accept that revision of fee will be undertaken on yearly basis as per school norms.
d) We shall abide by the school process and amendments.
e) We understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of admission or expulsion from school.
f) We have read and hereby consent to the terms and conditions given in the form.
g) We shall abide by all the rules and regulations of the school laid by Management along with changes, if any, intimated to us time to time.
h) Charges paid to the School for admission including registration etc. are not refundable.
Payment Details
Application Form Fee INR 500
Registration Charges INR 0
Total Fee INR 500
In case of any difficulty in submitting the form, please call on helpline 8800843341 Powered by SchoolBellQ*