"Society for Promotion of Quality Education for Poor andMeritorious Students of Punjab"

Punjab School Education Board, E-Block, 5tr' Floor, Phase-8, SAS Nagar (Mohali)Phone No. 0172-52123641 5212367, E-mail: pd.sqepmsp@gmail.com

ToiAll District District Education Officers (SE),(On Notice Board).

2. DM, MIS, Office of DGSE, Punjab.

Memo No.: MS/34r(Ay20l8l / G Z-1 Lt

Dated: 30.05.2018

Subject:- Regarding counselling of students who cleared entrance test forAdmission in Meritorious Schools, class l0+l (Academic Session2018-19).

Further to this office Memo No. MS/341( A)l20l9ll44l-75 dated

17.05.2018 & MS/341(A)1201811549-52 dated23.05.z0l8 on the subject cited above.

2. ResultMerit list of the students who appeared in Entrance test conducted

on 20.05.2018, fbr admission in Meritorious Schools in class l0+l (Academic Session

2018-19), is likely to be declared in another 2-3 days and shalt be uploaded on website

wwr.v.ssapunjab.org .

3. Meanwhile, formats of Adrnission Form, Hostel Admission Fornr,

instructions for the students, Medical Fitness certificate, Self Declaration by

StudentlParent or guardian, check list for purpose of verification by Admission

Committee of Meritorious Schools and list of articles to be brought by the students at

the time of admission, has also been uploaded on website. This may be brought to the

notice of students for needtut. t)\-/t{^

----Ass is te+f1roj ec t D i rec to r

Meritorious Society

Copy to:-

All Principals, Meritorious Schools. - for information and necessary action please.(By e-mail).

FOR SCHOOL OFFICE USE ONLYAdmission No. Date of Admission Class XI Sec Stream

Passport sizephotograph

(a) Name of the Student (ln English Capital Letters)

In Punjabi

(b) Date of Birth (In figures

(ln Words)

(c) Category(Tick the suitable)

GENERAL SC BC OBC OTHERS

(e.g. Ramdasia, Mehra etc.)(d) Caste

(e)Nationality

(f) Religion Sex (Boy/Girl)

(g) Handicap

(h) Name of the Bank

(i) Student's Bank Account No.

If yes, then Type of HandicaP.

Branch

IFSC Code

(j) Aadhar Card No.

(k)Height ofthe Student (in cms.)

(l) Blood Group

(m)Permanent Address /Village /Post Office

Tehsil

Constituency Name State MLA

Mobile No.

Any previous ailment*t

Weight (in Kg)

District

MP Pin Code

E-Mail

(n) Name ofthe Previous School

NoYes

PERSONAL INFORMATION

, (o) Medium of Previous Study

(p) Achievements in Sports (ifany)

(q) Co-Curricular Achievements(if any)

(r) Academic Record of Previous Class (Matriculation)

(s) Detail of School Leaving Certificate:(Can be submitted later on when received)

PARENTS / (;UARDIAN INFORMATION

Annual Income of Parents (in figures) _ (ln Words)(c) In case ofMinority lncome Certificate should be from appropriate authority and in case ofothersself-declared Income Certificate by Parents.

Sign. of Student Father_Mother

Class Teacher Signature (l) (2)

Year Class BoardRoll No.

BoardRegistrationNo.

TotalMarks

Marksobtained

o/oage Name of theschool

xth

FATHER'S DETAIL MOTHER'S DETAIL GUARDIAN INFORMATION

Name lin Fnqlish) Name (in F.nolish\

Qualification: Qualification: Qualification:

Occupation: Occupation: Occupation:

I endline No' Lendline No I endline No '

Mobile No. :....................................... Mobile No. :...................................... Mobile No.

Adhaar Card No.. Adhaar Card No.. Adhaar Card No..

2

\ *INSTRUCTIONS FOR TIIE STT]DENT:

l. Name of the student, Father's Name, Mother's Name, Date of Birth. All should be strictly according toMatriculation Certifi cate.

2. Student must bring the following:-

S.No. Documents Essential Items Items not allowed

I lncome tax certificate issuedby Tehsildar (10 Copies)

Items ofdaily need likeMug, Bucket, Soap, Oil,Comb, Towel etc.

Knife, cutter, blade etc.

2. SC/BC/ST/OBC certifi cate(10 Copies)

Bedding Agarbatti, Matchbox, Candleetc.

J. lOth DMC (10 Copies) Two locks Electric Appliances like iron,Heater etc.

4. Character Certifi cate fromPrevious School

5. Aadhar Card Student (10

Copies)Aadhar Card Father (02Copies)Aadhar Card Mother (02Copies)

Mosquito Repellant Digital appliances like cellphone, Video Games, Radio,Camera etc

6. Photos student (10)Photos Father & Mother - (5

each)Group Photo of Students,Father & Mother or Guardian- (5 each)

Essential Clothes acc.toseason

No valuables/ ExpensiveItems, Gold omaments, Cashnot more than 500

7. Self Declaration (5 Copies)about caste, religion &income

Water Bottle

8. Medical Certificate fromCivil Hospital (4 Copies)

9. School Leaving Certificatefrom previous School

10. Updated photocopy ofPassbook

11 Valid E-mail ID12. Clear folder - I

** ln case ofany previous ailment attach photocopy of Doctor's prescription and complete history.

3

S.

No.DOCUMENT DETAIL YES NO

I Income tax certificate issued by Tehsildar ( l0 Copies)

2 SC/BC/ST/OBC certifi cate ( I 0 Copies)

3 lOth DMC (10 Copies)

4 Character Certificate from Previous School

5 Aadhar Card Student (10 CopiesAadhar Card Father (02 Copies)Aadhar Card Mother (02 Copies)

6 Photos student (10)Photos Father & Mother - (5 each)Group Photo of Studenls, Father & Mother or Guardian15 each)

7 SelfDeclaration (5 Copies) about caste, religion &income

8 Medical Certificate from Civil Hospital (4 Copies)

9 School Leaving Certificate from previous School

r0 Updated photocopy of Passbook

ll Valid E-mail lDt2 Clear folder - I

form is completely checkedRemarks

Verified by Admission CommineeSign. of Admission Committeel.

3.

Signature of Principal with stamp

Check List (Documents to be attached) Tick Suitable

4

el Admission Form

Session: 2018-19

Admission No.

Room No.

Name of Student:

Mother's Name:Sec Stream:

Father's Name:Class:

Attachlatest

Passport Size

PhotographGender: (M,iF) Date of Birth:

Permanent Address:

PIN CODE Mobile No.

I will abide by the rules ofthe hostel and in case ofany negligence appropriate action can be taken.

Sign. of Student

Declaration bv the Parents:

(a) Above information provided by ...'.....'."............Sio/D/o Sh.......'.........'."" ',who is admitted in

Class.............. Stream.....'......' during the session"....................', is accurate'

(b) I agree for his/her stay in the hostel'

(c) She/he will not participate in any kind of mischievous activity like ragging etc'

(d) My ward will follow all the rules and regulations of the School.

(e) I permit following persons to meet/take my ward during holidays:-

Signature of Parent Signature of hinciPal with stamP

Photograph

of

Father

Photograph

of

Mother

Photograph

of

Local Guardian

S ignature Signature Signature

Photograph

of

Local Guardian

Photograph

of

Local Guardian

Photograph

of

Local Guardian

Signature Signature Signature

D/slo

MEDICAT CHEKCKUP

Blood lnvestigation: Hb Blood Group TLC, DLC

Height Weight_ Eye sight

Spectacles (Yes/No)

Medical History: if

DrugReaction if any

Other Problems if

Typhoid

Malaria

Skin Problem

Fits

YES/No (Give Detail)

YEs/No (Give Detail)

YES/No (Give Detail)

Attach Passport

Size Photograph

Student's

Civil Hospital /PHC/Govt Approval Doctors

NOTE:- In case of any previous ailment attach photocopy of Doctor's prescription and complete history

MEDICAL FITNESS CERTIFICATE

6

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1

LIST OT ARTICTES TO BE BROUGHT AT THE TIME OF ADMISSION

Personal items

1. Mattress (1)

2. Bed sheets (2)

3. Pillow (1) with pillow cover4. Suitcase / attachicase / small bag (1)

5. Locks with keys (2)

6. Looking mirror (1)

7. Comb (1)

8. Slipper (1)

9. Torch with cell (1)

10.Alarm Clock (1)

11.Water bottle (1)

12,Hair oil (1)

13.Daily using clothes as per individual's need

14.Towel (2)

15. Socks (white and black)(1 each) + Green (2)

16.White T- Shirt (1) + Black Lower (1)

17.Black shoes (1 pair)

18.Umbrella (1 optional)lg.Cotton dupatta (1)

2O.Green ribbon ( for Girls)

2l.School uniform ( Dark Green Salwar Kameez and dupatta for girls and full sleeves shirt

pent for boys )

22.Tea cup (1)

23.Curtain (1) (size: 3m x 1.25 m)

24.Recent Group photograph (student along with those persons who will escort the

student from school to home and back to school ) (4)

25.Mini passport size photograph of student ( size : 3.5cm X 2'5cm ) (20)

26.Bucket with mug (1)

27.Soap case (1)

28.Shampoo (1)

29.Toilet soap (1)

30.Toothpaste (1)

3l.Toothbrush (1)

32.Washing clothes brush (1)

33.Washing soaP/ detergent (2)

34.Liquid Dettol (1)

35. cloth clips

35.Medicines of recent ailment with medical report

List of documents reouired.

tncome lax certificate issued by Tehsildar ( l0 Copies)

SC/BC/ST/oBC certificate (l 0 Copies)

loth DMC (10 Copies)

Character Certificate from Previous School

Aadhar Card Student ( l0 Copies)Aadhar Card Father (02 Copies)Aadhar Card Mother (02 Copies)

Photos student ( l0)Photos Father & Mother - (5 each)

GrouD Photo of Students, Father & Mother - (5)

Self Declaration 15 Copies) about caste, religion & income

School Leaving Certificate fro@Updated photocopy of Passbook

Valid E-mail lDClear folder - I

Note:-

* Read instructions carefully before lilling the form.

(a) Followinq instructions must be followed while residine in the school camous:

1, student must come after getting their medical checkup from civil Hospital. they must brinS medical

certificate.2. lf any student has medical problem the he/ she will brinS his/her medicine along with prescription.

3. Student must notbring any expensive itemstothe school. e.g. electrical appliances (iron, musicsystem,

rod, mobite, dryer and straightener), gold ornaments'

4. Use of mobile phone and ATM is strictly prohibited in school campus'

5. Minimum cash is required for day to day need based items'

(b) [n case of Minority lncome certificate should be from appropriate authority and in case ofothers

self-declared lncome Certificate by Parents.

9

Calculator

uniform colour.

10