This document is an application form for admission to Sainik School Ghorakhal for the academic year 2011-2012. It requests information such as the applicant's name, date of birth, family details, category, correspondence address, choice of examination center, and a declaration signed by parents. It provides instructions for correctly filling out the form and notes the last date for submission is December 10, 2010 and the entrance examination will take place on January 2, 2011.
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Attribution Non-Commercial (BY-NC)
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This document is an application form for admission to Sainik School Ghorakhal for the academic year 2011-2012. It requests information such as the applicant's name, date of birth, family details, category, correspondence address, choice of examination center, and a declaration signed by parents. It provides instructions for correctly filling out the form and notes the last date for submission is December 10, 2010 and the entrance examination will take place on January 2, 2011.
This document is an application form for admission to Sainik School Ghorakhal for the academic year 2011-2012. It requests information such as the applicant's name, date of birth, family details, category, correspondence address, choice of examination center, and a declaration signed by parents. It provides instructions for correctly filling out the form and notes the last date for submission is December 10, 2010 and the entrance examination will take place on January 2, 2011.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
This document is an application form for admission to Sainik School Ghorakhal for the academic year 2011-2012. It requests information such as the applicant's name, date of birth, family details, category, correspondence address, choice of examination center, and a declaration signed by parents. It provides instructions for correctly filling out the form and notes the last date for submission is December 10, 2010 and the entrance examination will take place on January 2, 2011.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
ADMISSION STRICTLY FOR BOYS ONLY Form No _____________ (To be filled by the scho
ol) Roll No _____________/GK Category ____________ (To be filled by the school)
SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 APPLICATION FORM FOR ADMISSION : ACADEMIC YEAR 2011-12 READ INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE APPLICATION FORM FILL ALL COLU MNS IN LEGIBLE CAPITAL LETTERS USING A4 SIZE WHITE PAPER 1. Class for which admi ssion is sought – VI / IX ______ Day Month Year 2. Date of Birth 3. Name of the bo y in Full (CAPITAL LETTERS ONLY) Latest Passport size photo to be pasted and attested by the Head of the institut ion where the student is presently studying. 4. Father’s Full Name (CAPITAL LETTERS ONLY) 5. Mother’s Full Name (CAPITAL LETTERS ONLY) LAST DATE FOR SUBMISSION OF APPLICATION FORM 6. Full Name of the Guardian (CAPITAL LETTERS ONLY) (If Parents are not alive) 10 DEC 2010 (FRIDAY) EXAMINATION DATE 7. Nationality _______________ 8. State of Domicile (Parents) ______________ 9. Please Tick ( ) your category in the box - General (a) Defence SC ST 02 JAN 2011 (SUNDAY) If you belong to SC/ST Category, please specify your Sub Caste/Tribe____________ (Attach photo copy of caste certificate issued by the competent authority) (b) If you belong to DEFENCE Category, please furnish the following details :Whe ther serving Service Rank Date of Enrolment/ Date of Name of the or Ex-service N umber Commission Discharge Record Office personnel 10. 11. 12. Occupation of Father / Mother/ Guardian ______________/______________/__________ (Government/ Private Service/Business/Farming etc. to be specified) ___________ ______ Monthly Income from all sources Rs ______________ Address for Corresponde nce P I 13. N Telephone No. with STD Code ____________________Mobile _________________________ _ e-mail ID if any _________________________ -214. Permanent Address P I N 15. Choice of Examination Centre (Please see instruction Sl. No 7) Ist ______________________________________ IInd_________________________________ _____ IIIrd______________________________________ 16. Has your son/ward appeared in entrance examination earlier? If yes, please give the following details Name of the centre Year Roll Number Class 17. Bank Draft No _______________________ dated ____ /_____/2010 Rs _________ (Name and address of issuing branch) ______________________________________ (DEMAND DR AFT IN FAVOUR OF PRINCIPAL, SAINIK SCHOOL GHORAKHAL PAYABLE AT STATE BANK OF IND IA BHOWALI [BRANCH CODE 01352] TO BE DRAWN/MADE AT STATE BANK OF INDIA ONLY) 18. a) The parents who are willing to admit their son/ward in other Sainik Schools a s Full Fee Payee Candidate in case he is qualified, but low in merit of Sainik S chool Ghorakhal list, are to give an undertaking that they are willing to admit their son/ward as Full Fee Payee candidate in other Sainik Schools. Yes/No _____ b) If yes, give names of three choices of Sainik Schools in order of preference . (THIS WILL BE CONSIDERED ONLY IF VACANCY EXISTS IN OTHER SAINIK SCHOOLS.) (PLE ASE SEE PAGE NO 5). Choices :(i) (ii) (iii) Sainik School ______________________ ________ Sainik School ______________________________ Sainik School ____________ __________________ DECLARATION BY PARENTS I solemnly declare that the particulars furnished above are true and no informat ion has been concealed. In the event any of the above information found incorrec t at any time, I have no objection for removal of my son from the school and ref und the scholarship amount if availed. Orders and Instructions given/issued from time to time by the Principal will be binding on me. Date _____/______/ 2010 Pl ace _________________ _________________________________________ Signature and Na me of the Father/Mother/Guardian PLEASE ENSURE FOLLOWING 1. Application Form should be completed and filled-in all respects. Incomplete A pplication Form will be summarily rejected. Attach Hall Ticket & Identification Card. (Blank Form attached with this application at page No 3) Name of the candi date alongwith father’s name to be written on the reverse of Demand Draft. Attach Caste certificates, where ever applicable. 2. 3. 4. -3- HALL TICKET SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 FOR ENTRANCE EXAMINATION 2011-12 (TO BE FILLED BY PARENT IN BLOCK LETTERS AND SEND ALONGWITH APPLICATION FORM) Centre of Examination________________________________ Roll No ___________/GK 1. 2. 3. Name of the boy in full _____________________________________________________ Fa ther / Guardian’s Name___________________________________________________ Class fo r which admission is sought- VI / IX ______ Correspondence Address 4. Date of Bi rth ____/__ _ /_______ Latest Passport size photo to be pasted and attested by t he Head of the institution where the student is presently studying. P I N Signature of the Boy Signature of the Issuing Officer Sainik School Ghorakhal, N ainital SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND SEND HALL TICKET TO THE CANDIDATE FOR APPEARING IN ENTRANCE EXAMINATION IDENTIFICATION FORM SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 (TO BE FILLED BY THE PARENT IN BLOCK LETTERS AND SENT ALONGWITH APPLICATION FORM ) Centre of Examination _________________________________ Roll No __________/GK Name of the boy in full _________________________________ Father’s/Guardian’s Name ___________________________________ Class for which admissi on is sought - VI / IX _____ Date of birth ______/______/________ Latest Passport size photo to be pasted and attested by the Head of the institut ion where the student is presently studying. Signature of the Boy SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND RETAIN IT FOR OFFICIAL USE Signature of the Issuing Officer Sainik School Ghorakhal, Nainital -4SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 INSTRUCTIONS Please re ad the following instructions carefully before filling up the Application Form. 1. Left one column blank after First, Second and Surname. 2. Date of birth :- Applications are invited as per the given format from boys b orn between dates given as under for the academic year 2011-12, for appearance i n All India Sainik Schools Entrance Examination to be held on 02 Jan 2011 :(a) ( b) For Class VI For Class IX 02 July 2000 to 01 July 2001 (both dates inclusive) 02 July 1997 to 01 July 1998 (both dates inclusive) 3. Registration Fee :- Application has to be attached with a demand draft for Re gistration fee (non-refundable) as under :(a) General / Defence Category Rs 500/ -. (b) Scheduled Caste/Scheduled Tribes Category Rs 350/-. Note : The State Bank of India demand draft may please be made in favour of The Principal, Sainik School Ghorakhal, payable at State Bank of India Bhowali Branc h (Code No. 01352). Name of the candidate alongwith father’s name to be written on the reverse of demand draft. Cheques, Indian Postal Oders, Pay Order etc are no t acceptable by the School. Registration fee paid once will not be refunded unde r any circumstances. 4. Sainik School Ghorakhal, Nainital is one amongst the 24 Sainik Schools administered by the Sainik Schools Society, an autonomous body fu nctioning under Ministry of Defence. These schools were established with the pri mary aim of preparing boys for entry into Defence Services through National Defe nce Academy, Khadakwasla and to bring public school education within the reach o f common people. 5. Vacancies :For class VI - 60 & for class IX - 30 (Tentative) . 6. Reservation :- 67% for domicile of Uttarakhand and 33% for all other States & Union Territories. Out of total vacancies, 15% of the seats are reserved for SC , 7.5% for ST categories and 25% of the remaining seats in each category for chi ldren of Defence service personnel and ex-servicemen. 7. Examination Centres :- Subject to availability of sufficient candidates for the written examination cen tres will be Almora, Bareilly, Dehradun, Ghorakhal, Ghorakhpur, Kotdwar, Lucknow , Pithoragarh, Roorkee, Srinagar (Garhwal), and Udham Singh Nagar. Allotment of Examination centre will be at the discretion of the school. 8. Scheme of Written Examination :- Examination comprises of two papers namely Mathematics & Languag e and Intelligence Test of V class standard for entry to VI class and two papers namely Mathematics & Science and English & Social Studies of VIII class standar d for entry to IX class. The medium of Entrance Examination for class VI will be in Hindi or English but for class IX it shall be in English only. 9. Fee :Total Fee including boarding and lodging and other charges is approximately Rs. 90,00 0/- for the year 2011-12. 10% of fee will be increased every year as per existin g rules. 10. Scholarship :- Scholarships are granted by the Government of Uttara khand for the students of Uttarakhand domicile, based on Parent’s Income & Merit. Boys who are admitted against the 25% quota reserved for children of Defence ser vice personnel/ex-servicemen including those of Uttarakhand domicile are eligibl e for a limited number of scholarships granted by Ministry of Defence. However, diet subsidy is provided for all Uttarakhand domicile boys including Defence Cat egory children. In addition, all the boys admitted except the Day Scholars are p rovided with some financial assistance by Ministry of Defence. Continuation of S cholarship once granted is subject to income of parents, discipline and academic performance of cadets. 11. Repeater not allowed :- A boy can appear only once i n the Entrance Examination for a particular class for admission in Sainik School except for Sainik School Nagrota. For all disputes the legal jurisdiction will be at Nainital only. 12. Last Date for submission of application forms :- Applic ations completed in all respects along with Hall Ticket, Identification certific ate & Demand Draft towards Registration Fee must reach the ‘Principal, Sainik Scho ol Ghorakhal, PO : Ghorakhal, Distt- Nainital, Uttarakhand PIN - 263156 on or be fore 10 Dec 2010. Incomplete applications will be rejected and no communication will be entertained in this respect. Registration fee once paid is not refundabl e under any circumstances. 13. Application Form can also be downloaded from scho ol’s website www.ssghorakhal.org. 14. Parents are requested to fill the Application Form only for boys not for gir ls. Courier services are not available from Nainital/Haldwani to Sainik School G horakhal. Please send all mail by Post. Principal Sainik School Ghorakhal, PO : Ghorakhal Distt. Nainital, Uttarakhand – 263156 Telephone 05942-220051, 220045, website : ww w.ssghorakhal.org Query Timings : 0900 hrs to 1200 hrs, 1500 hrs to 1700 hrs (ex cept Saturday) -5ADDRESSES OF ALL SAINIK SCHOOLS Sl. No 1. Address Principal Sainik School Puru lia PO : Sainik School Purulia Distt. Purulia, West Bengal – 723101 Principal Sain ik School Kazhakootam PO : Sainik School Distt. Thiruvananthapuram, Kerala - 695 585 Principal Sainik School Tilaiya PO : Tilaiya Dam Distt : Koderma, Jharkhand - 825413 Principal Sainik School Bijapur Distt. Bijapur, Karnataka -586102 Princ ipal Sainik School Chittorgarh Dist. Chittorgarh , Rajasthan – 321001 Principal Sa inik School Sujanpur Tira Distt. Hamirpur, Himachal Pradesh - 176110 Principal S ainik School Satara Distt. Satara, Maharastra – 451001 Principal Sainik School Kap urthala Distt. Kapurthala, Punjab – 144601 Principal Sl. No 13. Address Principal Sainik School Imphal Post Box No 21 Distt. Imphal, Manipur – 795001 Principal Sain ik School Punglwa Via-Medziphema, Distt - Peren, Nagaland – 797112 Principal Saini k School Kodagu PO : Kudige Distt. Kodagu, Karanataka – 571232 Principal Sainik Sc hool Kunjpura Distt. Karnal, Haryana – 132023 Principal Sainik School Amaravathina gar Distt. Coimbatore, Tamil Nadu – 642102 Principal Sainik School Balachadi Distt . Jamnagar, Gujarat – 361230 Principal Sainik School Nagrota Distt. Nagrota, Jamu & Kashmir – 181221 Principal Sainik School Rewa Distt. Rewa, Madhya Pradesh – 386001 Principal Sainik School Rewari Vill. Gorthra Tappa Kheri, Sector - 4 Distt. Rew ari, Haryana – 123401 Principal Sainik School Ambikarpur Bishanpur Road, Distt. Su rguja, Chattishgarh – 497001 Principal Sainik School Bhubaneshwar Distt. Bhubanesh war, Orissa -751005 Principal Sainik School Ghorakhal PO : Ghorakhal Distt. Nain ital, Uttarakhand – 263156 2. 14. 3. 15. 4. 16. 5. 17. 6. 18. 7. 19. 8. 20. 9. 21. Sainik School Korukonda 10. PO Korukonda Distt. Vizianagram, Andhra Pradesh 531241 Principal 22. Sainik School Gopalganj PO : Hathwa Distt. Gopalganj, Bihar – 841436 Principal 23. Sainik School Nalanda PO-Rajgir, Distt. Nalanda, Bihar - 803116 Principal 24. Sainik S chool Goalpara PO : Rajapara Distt. Goalpara, Assam - 783133 11. 12. ****** -6- d i;k vkosnu i= Hkjus ls iwoZ fuEufyf[kr fn’kk funsZ’kksa dks /;ku iwoZd i<sa A 1uke ,d [kkuk izFke uke ds ckn] f}rh; uke ds ckn rFkk vfUre uke ds ckn NksMsa A LkSfud Ldwy ?kksM+k[kky] uSuhrky] mRrjk[k.M+ & 263156 fn’kk & funsZ’k 2o"kZ 2011&12 gsrq 02 tuojh 2011 dks vk;ksftr ^vf[ky Hkkjrh; lSfud Ldwy izos’k ijh {kk ¥ esa tUe frfFk %& lfEefyr gksus@Hkkx ysus gsrq v/kksfyf[kr frfFk;ksa ds e/; t Ues Nk=kss ls fn, x, izk:i esa vkosnu i= vkeaf=r gSa A 6oha ¼NBoha½ d{kk gsrq & 02 t qykbZ 2000 ls 01 tqykbZ 2001 rd ¼nksuksa fnol x.kuh;½ 9oha ¼ukSoha½ d{kk gsrq & 02 tqykb Z 1997 ls 01 tqykbZ 1998 rd ¼nksuksa fnol x.kuh;½ 3iathdj.k ’kqYd %& iathdj.k ’kqYd vkos nu i= ds lkFk v/kksfyf[kr /kujkf’k ds fMekaM Mªk¶V ¼vgLrkUrj.kkh;½@okilh Hkqxrku u gksus ; ksX;½ layXu djuk vko’;d gS A ¼d½ ¼[k½ [k½ lkekU;@j{kk laoxZ % :0 :0 500@& 350@& vuqlwfpr tkfr@vuqlwfpr tutkfr % fMekaM Mªk¶V ^iz/kkukpk;Z] lSfud Ldwy ?kksMk[kky ¥ ds i{k esa@uke ls Hkkjrh; LVsV cSad Hkokyh ’kk[kk ¼dksM+ u0 01352½ ij ns; gksuk pkfg;s A vH;kFkhZ dk uke rFkk mlds firk d k uke cSad Mªk¶V ds ihNs fy[kk gksuk pkfg;s A psd] iksLVy vkMZ+j ¼Indian Postal Orders½ fo|ky; dks Lohdh;Z ugha gksxsa A iathdj.k ’kqYd /kujkf’k fdlh Hkh fLFkfr esa okil ug ha ykSVkbZ tk;sxh@Hkqxrku ugha dh fLFkfr tk;sxh A 4lSfud Ldwy ?kksM+k[kky] j{kk eU=ky; ¼Hkkjr ljdkj½ }kjk fu;af=r ,d Lok;r’kk"kh ifj"kn lSfud Ldwy lkslkbVh }kjk lapkf yr ns’k ds 24 lSfud Ldwyksa esa ls ,d gS A jk"Vªh; j{kk vdkneh [kM+doklyk] iq.ks ds ek/;e ls j{kk lsukvksa@lsokvksa esa izos’k gsrq Nk=ksa dks rS;kj djkus ,oa ifCyd L dwy Lrj dh f’k{kk tu lkekU; Nk= rd igqWapkus@miyC/k djkus ds mn~ns’; ls bl Ldwy dh l aLFkkiuk dh x;h Fkh A 5fjfDr;kWa %& NBoha d{kk esa ukSoha d{kk esa & & 60 lhVsa 30 lhVsa vuqekfur 6fjDr lhVksa esa 67% mRrjk[k.M+ jkT; ds LFkk;kh fuokfl;ksa ds fy, rFkk ’ks"k 33% n wljs lHkh jkT;ksa@la?k vkj{k.k %& ’kkflr izns’kksa ds fuokfl;ksa ds fy, fu/kkZfjr gS a A dqy fjDr lhVksa esa 15% lhVsa vuqlwfpr tkfr ds fy,] 7-5% lhVsa vuqlwfpr tutk fr ds fy, ,oa izR;sd laoxZ esa ’ks"k lhVksa dk 25% lhV j{kk lSfudksa@j{kk dkfeZdks a ,oa HkwriwoZ j{kk lSfudksa@j{kk dkfeZdkasa gsrq vkjf{kr gSa A 7ijh{kk dsUnz %& i;kZIr vH;fFkZ;ksa@ijh{kkfFkZ;ksa dh miyC/krk ds vk/kkj ij vYeksM+k] cjsyh] nss gjknwu] ?kksM+k[kky] xksj[kiqj] n dksV}kj] y[kuÅ] fiFkkSjkx<+] :M+dh] Jhuxj ¼x<+oky½] ,oa m/ke flag uxj esa fyf[kr ijh{kk dsUnz gksxsa A ijh{kk dsUnzksa ds vkoaVu dk LokRokf/kdkj iw.kZr;k fo|ky; ds ikl lqjf{kr gS A 8fyf[kr ijh{kk dh vk;kstuk %& 6 oha ¼NBoha½ d{kk esa izos’k gsrq fyf[kr ijh{kk izeq[kr;% nks iz’u i=ksa & xf.kr] Hkk"kk ,oa cqf} dkS’ky dh ijh{kk] tks d{kk 5 ¼ikWpohaa d{kk½ ds Kku ij vk/kkfjr gksxh rFkk 9o ha ¼ukSohaa½ d{kk esa izos’k gsrq fyf[kr ijh{kk izeq[kr;% nks iz’u i=ksa & xf.kr] foKku ,oa lkekftd v/;;u@Kku dh ijh{kk] tks d{kk 8 ¼vkBohaa d{kk½ ds Kku ij vk/kkfjr gksxhA izos’k ijh{kk dk ek/;e 6oha ¼NBoha½ d{kk gsrq fgUnh vFkok vaxzsth ysfdu 9oha ¼ukSoha½ d{k k gsrq dsoy vaxzsth ek/;e gh gksxk A 9’kqYd o"kZ 2011&12 ds fy, %& vkoklh;] f’k{kk , oa vU; O;; ¼vuqekfur@yxHkx½ :0 90]000@& gksxk A orZeku fu;eksa esa izfro"kZ 10% o‘f} y kxw gksxh A &7& 10Nk=o‘fRr %& mRrjk[k.M jkT;+ ljdkj }kjk mRrjk[k.M+ jkT; ds LFkk;h fuoklh Nk+= ksa ds vfHkHkkodksa dh vk; ,oa Nk=ksa dh ;ksX;rk ds vk/kkj ij Nk=o‘fRr iznku dh tk rh gS A os Nk= tks j{kk lSfudksa@j{kk dkfeZdksa vFkok HkwriwoZ j{kk lSfudksa@Hkw riwoZ j{kk dkfeZdksa ds iq= o mRrjk[k.M+ jkT; ds fuokfl;ksa ds fy, 25% dksVs ds vUrxZr izfo"V gq, gSa] os j{kk ea=ky; 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M+kd }kjk gh Hkstsa A dksfj;j ls Hksth xbZ Mkd ds fy, Ldwy ftEesokj ugha gksxk A iz/kkukpk;Z lSfud Ldwy ?kksM+k[kky] iksLV ?kksM+k [kky ftyk uSuhrky] mRrjk[k.M+ & 263156 nwjHkk"k & 05942&220051] 220045 csclkbV : www.ssghorakhal.org tkudkjh dk le; % lqcg 0900 cts ls 1200 cts rd]rFkk nksigj 1 500 cts ls ’kke 1700 cts rd ¼’kfuokj dks NksM+dj½ *******