Welcome to Nai Mouza Subhania High Madrasah (H.S.)

Student Application Form for Admission in Class XI Session: 2026 - 2027

Print Your Applied form

Date:

Banglar Shiksha ID:

Student ID is not numeric.

Student Name:

Student Name is required.

Date of Birth:

D.O.B. as per Admit Card Student Date of Birth is required.

Gender:

Gender is required.

Student Aadhar No:

Student Aadhar No. is not numeric Student Aadhar No. is required.

Religion:

Religion is required.

Category:

Caste is required.

Nationality:

Blood Group:

BPL Status:

Yes

BPL Status is required.

If Yes, Details:

BPL No. is required.

Disability:

Yes

Disability status is required.

If Yes, Disability Details:

Disability details are required.

Address-

Para:

Para is required.

Village:

Village is required.

Post:

Post Office is required.

Panchayet:

Panchayet is required.

P.S.:

Police Station is required.

Block:

Block Name is required.

District:

District Name is required.

PIN Code:

PIN Code is required.

State:

State is required.

Parent / Guardian Information -

Father Name

Father Name is required.

Mother Name

Mother Name is required.

Guardian’s Name:

Guardian Name is required.

Guardian Occupation:

Guardian Occupation is required.

Guardian’s EPIC No.:

Guardian EPIC ID is required.

E-mail:

WhatsApp Mobile 1:

Student WhatsApp Mobile No. is required.

Mobile 2:

Student Mobile No. is required.

Bank Details -

Bank Name:

Bank Name is required.

Branch Name:

Branch Name is required.

IFSC Code:

IFSC Code is required.

Account No:

Account No. is required.

Student Name:

Name as per Bank Passbook Account No. is required.

Previous School Details -

Last Attended School:

Name of Previous School is required.

Examination Passed:

Last Class Passed required.

Board:

Board is required.

Roll:

Roll no required

No.:

Roll no required

Year of passing:

Year of Passing is required.

Last Year M.P. Mark Details

BENG	ENG	MATH	P.SC	L.SC	HIST	GEO	ARBC	Total Marks	Marks Obtained	% of Marks
* No. is not numeric	* No. is not numeric	* No. is not numeric	* No. is not numeric	* No. is not numeric	* No. is not numeric	* No. is not numeric	* No. is not numeric	*	*	*

Class Applied For:

Class is required.

Subject to be taken up :

Language (Compulsory):

Bengali is required.

English is required.

Choose Set

Set 1 (Science)

Set 2

Set 3

Plz Select Set.

Student Image:

Please choose Student Image

I hereby declare that the particulars given above are verified by me found to be correct. I also assure to abide by the rules and regulations of the Madrasah and the Council if I get chance for admission in your institution .

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Contact

Choto Sujapur, Malda

+91 94340 57921

nmshm1921@gmail.com

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