SACREDHEARTSENIOR SECONDARY SCHOOL

B.RS NAGAR,LUDEHIANA
Parents of IXth Std students are requested to fill up the following particulars ot their w a
is
C.B.S.E. Once the
name
very caretully in capital letters to get their names registered with not to approt
C.B.S.E will not allow any change. So parents are requested
Tegistered,
school for any change once it is registered with CBSE.

1. Name of the student (In Block Letters):

AIkHTILIEs alalo>lal
(Leave a box after First Name and Middle Name)
2.Mother's Name:
bElEleGlolylalI I L L I I I I I I
3.Father's Name:
sllaiaALIIIITIT
4. Gender:(Male/ Female ) MALE
5. Category: (Gen/SC/ST/OBC)_aEN
6. Date of Birth: (In Figures) 01-o2-2o07

InWords: SEVEN E8RUARY wO THOUSAND SEVEN

7. Anual Income of
FatherRS. 4,00,000 Mother Rs 5.00,000
Candidate Total Annual Income RS 4,00,.000
8. Is candidate only child of the parent? ( Yes /No)_ NO
9. Do you belong to minority community? NO-
10.Second language: (Hindi/Punjabi )
PUNTABI
2
11.Mobile No. 091816-62444 Email IDAKHLESH GoYAL@ GMAIL,CoM
12. Aadhar Card No. of the child 249-1764-8974
Signature of Father:
Signature of Mother:d l
ilesGe
Signature of Student:
Date: 8-5-2021

Principal