BALVATIKA ADMISSION (NECESSARY INFORMATION AND ADMISSION FORM) Final - 0

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hua ot Sete fears atest PM SHRI KENDRIVA VIDYALAYA BALLYGUNGE (Undor Ministry of Egucation, Govt. of Indi) arava tea Max, atin wafar Vs, Haare -700019 Ballygunge Maidan Camp, Ballygunge Circular Road, Kolkata-19 18 (033) 24865171, CBSE Afflation No. 2400018, Schoo! Code: 19207 Web. wwrw-baligunge.kvs.ac.in, E-mail’ kvbalygunget266@gmaicom 5 Date:01/04/2024 ——— ea hare ro F.No-25331 /KVB/2024-2 NABET Admission Notice for Balvatika I for Session 2024-25 Registration for admission to Balvatika I in Kendriya Vidyalaya Ballygunge for the academic Year 2024-25 will commence from 01/04/2024 and will close at 04:00 PM on 15/04/2024. Interested Parents are requested to apply using the registration form, Admission in Balvatika Classes: - > Fresh Admission to these Balvatika classes shall be done as per the priority and reservations given in the KVS Admission Guidelines 2024-25 as per the following age groups: Class ‘Age as on 31st March 2024 Balvatika -1 ‘Attained 3 years but not completed 4 years Reservation under the Provisions of RTE Act-2009 shall be applicable for Balvatika | > One Photocopy of the following documents are required to be submitted in the school along with the application form (attached with this notification). 1. Proof of Date of Birth of the child 2. Passport Size Photo of the Child 3. Proof of Residence (Electricity Bill/ Gas Connection Blue book/ Telephone Bill/ Passport/ Bank Passbook/Driving License/Tenant agreement ete.) along with Self Declaration Format. 4. Service certificate if applicable (For Central/State Govt. Employees and various Undertakings under Central/State Govt.) Transfer Certificate from the Competent Authority mentioning the details of postings in last7 years if applicable (For Central/State Govt Employees and various Undertakings under Central/State Govt) 6. Caste Certificate if applicable (Note: In case of unavailability of caste certificate of child, father's caste certificate will be considered initially and undertaking will be received from parents that they will prepare the same within three months . Only in case of single Mother, Mother's caste certificate will be accepted and undertaking will be received also 7. Certificate of Differently abled from the Competent Authority if applicable 8. Timing for submission of filled registration form between 11:00 AM to 12:00 Noon (All Working days in between 01/04/2024 to 15/04/2024) Dis time of admission may lead to cancelation of the application of the candidate. fe Stler ae SQ? a= Fit % INDIA, claimer: Providing any wrong information or inability to produce the original documents at the wrt Kendriya Vidyalaya Region ifere Fa/ Academic Session : 2024-25 Wag UsEWT-WIA/ REGISTRATION FORM Paste Latest Passport Size Photograph of Class: Registration No the Child 1. fareret pr er ar (ere reat #) Name of the Child (In Capital Letters} 2. fait/ Gender Wra/Male () Bi/Female(—) qt falt/Third Gender( 3. oAr-fefi / Date of Birth (at #/In figures) fea/Day “31 /Month. at/Year (ret #/In words) 4, 01.04,2024 7 aG/Age as on 01.04.2024: 74/Year ¥a/Month ‘fe/Day 5. qed BIH A (AK Ua 4a Blea) /Blood Group of the Child (With RH Factor} 6, wat oh aetirg Att Gen | sc | st | oBc-cL|oBc-NcL| EWs | BPL | CwSN Category of the Child 7. sar rd at (aR HOH B /Aadhar Card Number (If available): 8, area ar feaw1/ Details of Mother & Pathe: # | rao particuta “Tat/ Mother far/Father i fare cee ered [Name in CAPITAL Letters a | aeteay Nationality il | aera /occupation iv | arate ara, qr sare gH Name of Office, Full Address & Telephone Number vf et ea wa we gee Full Address 8 Telephone No vi | Renee ah (A, Hh from the Vidyalaya (in K.M.) Dista vit | aiff ora /Anaual income wit] Rr ara ea eto ea No, of Transfers during last O7 years {As on 31.03.2024) i | ara aroha war er tar 2024.25 > aT Service Category of the Parent (As per KVS Admission Guidelines 2024-25) x | stat a tah /Emp. Code ff any) xi_| Bat ang @ /e-Mail 1D frag & FaTAT/Sign. of Guardian ‘festa Date qo tan/Page 1 of 4 ‘Sq WHTEH/ SERVICE CERTIFICATE (®% WR/ Central Government) afte feat airet @ fae aft / ater. 2, ee area ea # afar oe 9 anes 21 3 ten Sa ard tr ry a aT RR / OTE AA AT ee a A/T A ae a WH m/s aK aT St /ateer ANTS Bara ACHR Fae SEM area ara aa SaeH ST fe YET aT FRE BTS (.00..0...% TPT ae By HT) x TaN a farce 2, & frafia ete @ ae sTeT dart semrineta pet ane 4 wet ot enti a1 Certified that Shri/Smt....c.se Designation. is working in the office/ Ministry of... He/She is a regular employee of Defence Service/ITBP/ CRPF/ BSF/ NSG/ SPG/ CISF/ SSB/ Assam Rifles/ DRDO/ Central Government/AIS/Autonomous Body/ Public Sector Undertaking fully financed/ partially financed (.........% percentage of Govt. share) by Central Government and his/ her services are non-transferable/ transferable anywhere in India. rates sremes FETE a, Fe erate Hee RA) 21 /Place. Signature of Head of the Office ‘fete /Date..... (With Name, Designation & Office Stamp) praiaa pt oar oH ZT eT: Complete Address and telephone number of the office: ....... ‘Fat WA-H/ SERVICE CERTIFICATE (Wa ATET/ State Government) wetter fiver arar & fie ity mm eer rere fee eae wa eT aera TE Sr 3 sera A 6 ear HARE EB (ase SRT aT era) TRE ITE FB, & ate aka 3 weit ace & ae se are oreo oH ae a aeeto eratcote 21 Certified that Shri/Smt. Designation. is working as a regular employee in the office/ Ministry Of... veces /Autonomous Body/PSU fully financed /partially financed (........% percentage of Govt. share) by the State Government and his/ her services are non-transferable/ transferable anywhere in the State. ‘wraterd sea % FETA (er, ike referer He a BIAY PLACE cssossessesceeee Signature of Head of the Office FE / Daten... (With Name, Designation & Office Stamp) rata a yt vat Gi GAT H/ Complete Address and telephone number of the office: ‘feat /Date: YB Ta/Page 2 of 4 ‘RURiawH HET WAV-TH/ CERTIFICATE OF NUMBER OF TRANSFERS 4, 26) seen FEA) sess sesso PAAR, sere ma Bea Fe Re Ta TH (91.03.2028 7a) #, EMTALA TR. (ot a aedt Bearer ge &, Far Famer gH OTe: Tae eevee (Name) (Designation)... (Office), do hereby certify that during the past 07 years (Up to 31.03.2024), I have been transferred. times (in figures, and in words) from one station to another, 8] araleeyate Jem [Reyscr ferieyDate | ath afi SN. |Office/Unit | Place | Rank/Designation | _ Period of Stay _| Period of Stay 3/From | F=/To 1 2 3 4 6 7 PeeelyNote: Seeae ‘refit er Sea w: ATA eH AMET! Period of posting/stay at a place must be at least six months) it area fe aA rata ae Five at eee eT Ber see ae hy err TE ae at Aer a Aes ‘Aererore arden & fore sree aa eh sere) ge Bats AY are fewett anftiaret & arg srciter set St TET I know that if the above-mentioned facts are found incorrect at any stage (at the time of admission or later), my child will be disqualified for admission in Kendriya Vidyalaya. No appeal will be made by me to any Authority in this regard. are -faar & eeaTETT Signature of Parent ‘fa-aeaTeR/ countersigned By essen FI) eset ene eee sss sees ees SPOT, ee ee et et fee ae a8 Ta 1, (Name) (Designation). (Office), do hereby certify that the particulars given in above, have been authenticated by the records held in the office and found correct. ‘rater snot RETA a, ie eee tee Re PTA Placecsccsceseeee cose Signature of Head of the Office Reis /Date. (With Name, Designation & Office Stamp) arataa at qe vat wed qaw wsi/Complete Address and telephone number of the office:... ‘feat /Date: YB ta/Page 3 of 4 ‘Sar-arefta YY WAVT-/ DIED IN HARNESS CERTIFICATE (baat Be aron > senha & fere/Only for Central Government Employees) ats Fear sat fe gag seven A Pa erate fy 9 Bea et te er Ree Ba BY SAE A AT oss BT AY AT Certified that Master/Miss is the sun/ daughter of Late Shri/Smt, who was a regular employee of (Office/Department) and he/she died in harness (while in service) on (date) aprafera srarer 3 eae (ar, 9% ait rete a tee fem PIA/Placesseseeseeee eo Signature of Head of the Office eriw /Date (With Name, Designation & Office Stamp) rata ar opt aa ed gos eT: Complete Address and telephone number of the offi ‘feat /Date: YB taT/Page 4 of 4

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