Class to which admission is sought Somaiya Vidhyavihar Bombay's . KOPARGAON - 423601, Dist" : Ahrnednagar APPLICATION FtrR AT}MNSSNffiru Roll No. & Divn. - To be Filled in by the Schoo! To, The Principal Shri Sharda English Mediumr School Kopargaon Sir, I request for admission of my ward to your sehool, I submit the following Partieulars of my ward. 1. Name of the Pupil 2. Father's Name . Mother's I\ame 3. Religion : SIIRI SFHAR,$A HNGLISEfl MEg}NUft,K SCNEOOL Surname 4. Sub Caste : 5. Mother Tongue : 6. Date of Birth : 7 . Place of Birth : B. Previous School attended : 9. Standard Passed and when : 10. Class to which admission is sought : 11. Guardian's Name : address : Tel No. - I Further declare : i) that I am able and willing to pay the prescribed fees in advance and meet promply allthe incidental expenses of the schoor if / my son / daughter / ward is admitted to the schooi, - ii) that whatever my religion is I have no objection to allowing my son / daughter / ward to attend the school prayers and functions. iii) that I know a terms notice or Term fees is necessary for withdrawal. I agree, a) to, my son / daughter / ward being provided when urgenfly required by the school with necessary kit, the cost charged to me in term bill. b) not to ask for leave for my son / daughter / ward or visit the school against the regulations. c) to pay school bill regularly and accept the rules, my son / daughter / ward as llable to be sent home if bill remain unpaid for a term. d) I am aware that the deposit amount will be refunded only after five years of continuous admission of my ward. Yourfaithfully Signature Guardian