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Latest Passport size photo to be pasted

and attested by the Head of the institution where the student is presently studying.

LAST DATE FOR SUBMISSION OF APPLICATION FORM

10 DEC 2010 (FRIDAY)

EXAMINATION DATE

02 JAN 2011 (SUNDAY)

Form No_ _ _ _ _ _ _ _ _ _ _ _ _ Roll No_ _ _ _ _ _ _ _ _ _ _ _ _/GK (To be filled by the school) Category_ _ _ _ _ _ _ _ _ _ _ _ (To be filled by the school)

SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156

APPLICATION FORM FOR ADMISSION : ACADEMIC YEAR 2011-12
1. Class for which admission is sought VI / IX_ _ _ _ _ _ Day Month Year 2. Date of Birth 3. Name of the boy in Full (CAPITAL LETTERS ONLY) 4. Fathers Full Name (CAPITAL LETTERS ONLY) 5. Mothers Full Name (CAPITAL LETTERS ONLY) 6. Full Name of the Guardian (CAPITAL LETTERS ONLY) (If Parents are not alive) 7. Nationality_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 8. State ofD o m ic ile (Parents)_ _ _ _ _ _ _ _ _ _ _ _ _ _ 9. Please Tick(

) your category in the box (a) If you belong toS C /S T Category, please specify your Sub Caste/Tribe____________ (Attach photo copy of caste certificate issued by the competent authority) (b) If you belong toD E F E N C E Category, please furnish the following details :-

Whether serving or Ex-service personnel Service Number Rank Date of Enrolment/ Commission Date of Discharge Name of the Record Office
10. Occupation of Father / Mother/ Guardian_ _ _ _ _ _ _ _ _ _ _ _ _ _/______________/__________ (Government/ Private Service/Business/Farming etc. to be specified)_ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ 11. Monthly Income from all sources Rs_ _ _ _ _ _ _ _ _ __ _ _ _ 12. Address for Correspondence P I N 13.

Telephone No. with STD Code_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Mobile_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______ e-mail ID if any _________________________

ADMISSION STRICTLY FOR BOYS ONLY

General Defence SC ST

READ INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE APPLICATION FORM FILL ALL COLUMNS IN LEGIBLE CAPITAL LETTERS USING A4 SIZE WHITE PAPER

- 2 14. Permanent Address P I N 15. Choice of Examination Centre Ist_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Please see instruction Sl. No 7)IIn d______________________________________

IIIrd______________________________________ 16. Has your son/ward appeared in entrance examination earlier? If yes, please give the following details

Name of the centre Year Roll Number Class

17. Bank Draft No_ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ dated_ _ _ _ /_____/2010 Rs_ _ _ _ _ _ _ _ _ (Name and address of issuing branch)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(DEMAND DRAFT IN FAVOUR OF PRINCIPAL, SAINIK SCHOOL GHORAKHAL PAYABLE AT STATE BANK OF INDIA BHOWALI [BRANCH CODE 01352] TO BE DRAWN/MADE AT STATE BANK OF INDIA ONLY)
18. a) The parents who are willing to admit their son/ward in other Sainik Schools as Full Fee Payee

Candidate in case he is qualified, but low in merit of Sainik School Ghorakhal list, are to give an
undertaking that they are willing to admit their son/ward as Full Fee Payee candidate in other Sainik Schools.

Yes/No_ _ _ _ _
b) If yes, give names of three choices of Sainik Schools in order of preference. (THIS WILL BE

CONSIDERED ONLY IF VACANCY EXISTS IN OTHER SAINIK SCHOOLS.) (PLEASE SEE PAGE NO 5). Choices: (i)

Sainik School_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (ii) Sainik School_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (iii) Sainik School_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

DECLARATION BY PARENTS
I solemnly declare that the particulars furnished above are true and no information has been concealed. In the event any of the above information found incorrect at any time, I have no objection for removal of my son from the school and refund the scholarship amount if availed. Orders and Instructions given/issued from time to time by the Principal will be binding on me. Date_ _ _ _ _/______/ 2010 _________________________________________ Signature and Name of the Father/Mother/Guardian Place_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1. Application Form should be completed and filled-in all respects. Incomplete Application Form will be summarily rejected. 2. Attach Hall Ticket & Identification Card. (Blank Form attached with this application at page No 3) 3. Name of the candidate alongwith fathers name to be written on the reverse of Demand Draft. 4. Attach Caste certificates, where ever applicable.
PLEASE ENSURE FOLLOW ING

-3

HALL TICKET
SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156
FOR ENTRANCE EXAMINATION 2011-12
(TO BE FILLED BY PARENT IN BLOCK LETTERS AND SEND ALONGWITH APPLICATION FORM)

Centre of Examination________________________________ Roll No_ _ _ _ _ _ _ _ _ _ _/GK 1. Name of the boy in full_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______ 2. Father / Guardians Name___________________________________________________ 3. Class for which admission is sought- VI / IX_ _ _ _ _ _

4. Date of Birth_ _ _ _/ __ _ /_______

Correspondence Address
P I N Signature of the Boy Signature of the Issuing Officer Sainik School Ghorakhal, Nainital

IDENTIFICATION FORM
SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156
(TO BE FILLED BY THE PARENT IN BLOCK LETTERS AND SENT ALONGWITH APPLICATION FORM)

Centre of Examination _________________________________ Roll No_ _ _ _ _ _ _ _ _ _/GK Name of the boy in full _________________________________ Fathers/Guardians Name_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Class for which admission is sought -VI / IX_ _ _ _ _ Date of birth_ _ _ _ _ _/______/________ Signature of the Boy Signature of the Issuing Officer Sainik School Ghorakhal, Nainital Latest Passport size photo to be pasted and attested by the Head of the institution where the student is presently studying. Latest Passport size photo to be pasted and attested by the Head of the institution where the student is presently studying.

SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND SEND HALL TICKET TO THE CANDIDATE FOR APPEARING IN ENTRANCE EXAMINATION SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND RETAIN IT FOR OFFICIAL USE

SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 INSTRUCTIONS Please read the following instructions carefully before filling up the Application Form. 1. Left one column blank after First, Second and Surname. 2. Date of birth :-Applications are invited as per the given format from boys born between dates given as under for the academic year 2011-12, for appearance in All India Sainik Schools Entrance Examination to be held on 02 Jan 2011 :(a) For Class VI

02 July 2000 to 01 July 2001 (both dates inclusive) (b) For Class IX 02 July 1997 to 01 July 1998 (both dates inclusive) 3. Registration Fee :-Application has to be attached with a demand draft for Registration fee (non-refundable) as under :(a) General / Defence Category Rs 500/-. (b) Scheduled Caste/Scheduled Tribes Category Rs 350/-. Note : The State Bank of India demand draft may please be made in favour of The Principal, Sainik School Ghorakhal, payable at State Bank of India Bhowali Branch (Code No. 01352).Name of the candidate alongwith fathers name to be written on the reverse of demand draft. Cheques, Indian Postal Oders, Pay Order etc are not acceptable by the School. Registration fee paid once will not be refunded under any circumstances. 4. Sainik School Ghorakhal, Nainital is one amongst the 24 Sainik Schools administered by the Sainik Schools Society, an autonomous body functioning under Ministry of Defence. These schools were established with the primary aim of preparing boys for entry into Defence Services through National Defence Academy, Khadakwasla and to bring public school education within the reach of common people. 5. Vacancies :For class VI - 60 & for class IX - 30 (Tentative). 6. Reservation :- 67% for domicile of Uttarakhand and 33% for all other States & Union Territories. Out of total vacancies, 15% of the seats are reserved for SC, 7.5% for ST categories and 25% of the remaining seats in each category for children of Defence service personnel and ex-servicemen. 7. Examination Centres :- Subject to availability of sufficient candidates for the written examination centres will be Almora, Bareilly, Dehradun, Ghorakhal, Ghorakhpur, Kotdwar, Lucknow, Pithoragarh, Roorkee, Srinagar (Garhwal), and Udham Singh Nagar.Allotment of Examination centre will be at the discretion of the school. 8. Scheme of Written Examination :- Examination comprises of two papers namely Mathematics & Language and Intelligence Test of V class standard for entry to VI class and two papers namely Mathematics & Science and English & Social Studies of VIII class standard for entry to IX class. The medium of Entrance Examination for class VI will be in Hindi or English but for class IX it shall be in English only. 9. Fee :Total Fee including boarding and lodging and other charges is approximately Rs. 90,000/- for the year 2011-12. 10% of fee will be increased every year as per existing rules. 10. Scholarship :-Scholarships are granted by the Government of Uttarakhand for the students of Uttarakhand domicile, based on Parents Income & Merit. Boys who are admitted against the 25% quota reserved for children of Defence service personnel/ex-servicemen including those of Uttarakhand domicile are eligible for a limited number of scholarships granted by Ministry of Defence. However, diet subsidy is provided for all Uttarakhand domicile boys including Defence Category children. In addition, all the boys admitted except the Day Scholars are provided with some financial assistance by Ministry of Defence. Continuation of Scholarship once granted is subject to income of parents, discipline and academic performance of cadets. 11. Repeater not allowed :-A boy can appear only once in the Entrance Examination for a particular class for admission in Sainik School except for Sainik School Nagrota. For all disputes the legal jurisdiction will be at Nainital only. 12. Last Date for submission of application forms :-Applications completed in all respects along with Hall Ticket, Identification certificate & Demand Draft towards Registration Fee must reach the Principal, Sainik School Ghorakhal, PO : Ghorakhal, Distt- Nainital, Uttarakhand PIN - 263156 on or before 10 Dec 2010. Incomplete applications will be rejected and no communication will be entertained in this respect.Registration fee once paid is not refundable under any circumstances. 13. Application Form can also be downloaded from schools website w w w .s s g h o ra k h a l .o r g. 14. Parents are requested to fill the Application Form only for boys not for girls. Courier services are not available from Nainital/Haldwani to Sainik School Ghorakhal. Please send all mail by Post. Principal Sainik School Ghorakhal, PO : Ghorakhal Distt. Nainital, Uttarakhand 2 6 3 1 5 6 Telephone 05942-220051, 220045, website : www.ssghorakhal.org Query Timings : 0900 hrs to 1200 hrs,

1500 hrs to 1700 hrs (except Saturday)

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