Residential Address : Res. Phone No. Mobile No : Emergency No. 11) Sibling Details (Studying in BHS Bagikhana) Child’s Addhar Card No. 3) 2) Date Month Year 4) Date of Birth (in figures) : (in words) : 10) Blood Group : 5) Place of Birth : 6) Mother Tongue : 8) Caste / Sub-caste : 7) Religion : 9) SC/ST/BAXI / OBC _______________ (specify) Pin code Form No. : (Managed by Baroda Lions Club Education Trust) BARODA HIGH SCHOOL, BAGIKHANA Bagikhana Campus, Opp. Pologround, Baroda-1. Ph. : 0265-2439499 1) Name in full : ______________________________________________________________________________ (in capital letter) : (Surname) (Child’s Name) (Father’sName) (Mother’s Name) Name b) ___________________________________Std / Div. ____________ GR. No. _________________ Name a) ___________________________________Std / Div. ____________ GR. No. _________________ SUBMISSIONS AT TIME OF ADMISSION (FOR OFFICE USE ONLY) 1) Birth Certificate (Photocopy) 2) Child’s Aadhar Card (Photocopy) 3) Caste Certificate (Photocpooy) 4) Father;s School LC FOR OFFICE USE Std. : __________________ Div : __________________ Fee paid : ___________________ Receipt No. _____________ Date of Payment _____________ Date of Enrollment : _____________________ Enrollment No. : _________________ CLERK PRINCIPAL SUPERVISOR Enrollment to “Sneh” Please ( ) Girl Boy Qualification Occupation (PI, Specify) Office Address Annual Gross Income E-mail ID Addhar Card No. Bank A/c. No. (Compulsory) Father’s Details Mother’s Details WRITE IN CAPITAL LETTER NOTE : PLEASE TURN OVERLEAF FOR MORE INSTRUCTIONS. Affix latest passport size photograph of the child Contact No. SNEH