MAHARAJPUR A.J. SHIKSHA MISSION
Maharajpur, Pukhuria, Malda | Govt. Reg. No.- S/2L/41565
( Success for all Students )
Admission Test Form for the Session - 2027
[Fill in all the Columns in Capital Letters]
Applied for:
Select Class
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE
Mode of Admission:
Select Mode
Day School
Hostel
Exam Center:
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Maharajpur A.J Shiksha Mission
Chouduar M.S.K
Exam Date:
1. Student Details
Full Name of Student:
Email Address:
Student Aadhaar No:
Date of Birth:
Gender:
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Male
Female
Other
Caste:
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GN
SC
ST
OBC
Religion:
Select
Islam
Hindu
Others
Nationality:
Disability:
No
Yes
Name of Previous Institution:
2. Address Details
Village:
Post Office:
Police Station:
District:
PIN Code:
3. Parents & Guardian Details
Father's Details:
Father Name:
Occupation:
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Service (Govt/Private)
Business
Self Employed
Farmer / Agriculture
Daily Wager
Professional (Doctor/Engineer/Lawyer)
Other
Contact No:
WhatsApp No:
Monthly Income:
Select Monthly Income
Below ₹5,000
₹5,000 - ₹10,000
₹10,000 - ₹20,000
₹20,000 - ₹50,000
Above ₹50,000
Mother's Details:
Mother Name:
Occupation:
Select Occupation
Homemaker / Housewife
Service (Govt/Private)
Business
Self Employed
Teacher
Other
Qualification:
Select Qualification
Below Secondary
Madhyamik / 10th
Higher Secondary / 12th
Graduate
Post Graduate
Doctorate / PhD
Other
Mobile No:
WhatsApp No:
Guardian's Details:
Guardian Name:
Relation with Student:
Select Relation
Father
Mother
Uncle
Aunt
Grandfather
Grandmother
Brother
Sister
Legal Guardian
Other
Occupation:
Select Occupation
Service (Govt/Private)
Business
Self Employed
Farmer / Agriculture
Daily Wager
Professional
Other
Contact No:
WhatsApp No:
Monthly Income:
Select Monthly Income
Below ₹5,000
₹5,000 - ₹10,000
₹10,000 - ₹20,000
₹20,000 - ₹50,000
Above ₹50,000
4. Document Uploads (JPG, JPEG, PNG, WEBP Only)
Student Photo
Student Signature
Birth Certificate
Father's Aadhaar Card
5. Guardian Declaration
I hereby declare that the information provided in the admission test form is correct to the best of my knowledge.
Pay Fee & Submit Application (₹100)
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