MY

SU
N

Sunbeam Academy

AM ACA D
BE

Ph.: 0542 - 2369587

2366441
Fax : 0542 - 2369823

( A Co-Educational Senior Secondary School, Affiliated To C.B.S.E., New Delhi)

Samne Ghat, Lanka, Varanasi

APPLICATION FOR REGISTRATION

VA R A N A SI

Science

PMC

Admission No.

PBC

(To be given after

admission)

Commerce

No.

Affix a Passport
size Self Attested
Photograph
(Do not Staple)

Humantities
Please mention your 1st, 2nd, 3rd, & 4th
preferences in the blocks provided
1.Student's Name : (In Block Letters)______________________________________________________________
2.Date of Birth (In Figures) Date

Month

Year

3.Father's Name_______________________________________Profession______________________________
Education ___________________Phone (O) ______________Phone (R) _____________Mobile ____________
4.Mother's Name_______________________________________Profession______________________________
Education ___________________Phone (O) ______________Phone (R) _____________Mobile ____________
E-mail Address _____________________________________________________________________________
5.Address for Correspondence __________________________________________________________________
__________________________________________________________________________________________
6.SC/ST/OBC

SEX (M/F)

Nationality _____________________

7.Appeared Class-X Exam From School : __________________________________________________________

Board : (CBSE / ICSE / STATE ..............................Board)
8.Roll No. of Class-X Board Exam : _____________________________Year of Passing
9.T.C. Submitted - Yes

No

10.Marksheet of Previous School Submitted - Yes

No

11.Real Brother/Sister Studying in the School : 1. Name _______________________Class _________Sec _______

2. Name _______________________Class_________Sec________
PARENT'S DECLARATION
(a) Having read carefully the rules and regulations laid down in the school prospectus and being desirous of having my
ward educated at your esteemed institution. I hereby agree to abide by them.
(b) I also declare that the date of birth and the name of my ward are correctly given & I shall not request for any change
in future.
(c) I understand that the decision of the Principal in all matters related to the school will be final and binding on me and
the fee once deposited will not be refunded in any case.

Candidate's Signature

Parent's / Guardian's Signature

Date :

Date :

Remarks : ________________________________________

Admission Granted to Class________________

____________________________________
________________________________

Director's/Principal's Signature

13. Preference of The OPTIONAL SUBJECT :

1. Mathematics

2. Sanskrit

3. Commercial Art

4. Tabla

5. Computer Science

6. Physical Education

7. Vocal Music

8. Sitar

9. Instrumental Music

10. Hindi

11. Political Science

12. Kathak

13.Informatics Practises

14. Home Science

15. Geography

16. Sociology

17. Bharat Natyam

18. Enterprenureship

19. Legal Studies

20. Translational Skill & Creative Writing

1st Preference __________________2nd Preference__________________3rd Preference ________________

Note - If the minimum number of applicants for a particular optional course is less than 25 then that particular optional
course shall not run.
14.Grade/Mark Obtained in Class X Board Exam :
English____________Maths_____________Science____________S.SC___________Hindi/San.____________
Overall CGPA _______________________________
15.Admitted in Sunbeam Academy in year ________________Branch____________________________________

Admission Information to Class XI

The Cut of Grade for the streams are Mathematics : A2 (85%), Biology A2 (80%), Commerce B1 (75%), Humanities B2 (65%)
Last date to submit the Form is _________________
Late Admission will not be entertained; the seat will be given to the next deserving candidate.
List of selected students will be displayed on the school notice board on the next day of entrance exam.
The students who qualify the entrance exam will have to deposit the fee within two days.

Stream Option
PMC

PBC

Commerce

Humanities

Physics

Physics

Economics

Economics

Chemistry

Chemistry

Business Studies

History

Mathematics

Biology

Accountancy

Pol. Science

English

English

English

English

Optional Sub.

Optional Sub.

Optional Sub.

Optional Sub.

ASSUMPTION OF RISK
To,
The Managing Committee
SUNBEAM ACADEMY, VARANASI

Date _______________

My Son/Daughter___________________________________________________________(in Block Letters)

has my permission to participate in all Co-curricular activities (games, sports, drama, excursions etc.) and
other outdoor & indoor activities organised by the school. I hereby permit him/her to use the transportation
provided by the school, if needed and will not hold the committee/school, responsible for any claims from any
accidents etc. while coming or going to school or within the school campus.
I have read the rules and regulations of the school as laid down in the summary of prospectus and agree to
abide by them. I hereby agree to abide by all the decisions of the Principal. If my child is found indulging in any
indiscipline, whatsoever, the Principal will have the right to punish or expel him/her from the institution and his
decision will be final and binding on me.

Name

__________________________________________

Address __________________________________________
__________________________________________

Parent's Signature