ADMISSION STRICTLY FOR BOYS ONLY Form No _____________ (To be filled by the scho

ol) Roll No _____________/GK Category ____________ (To be filled by the school)

SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156
APPLICATION FORM FOR ADMISSION : ACADEMIC YEAR 2011-12
READ INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE APPLICATION FORM FILL ALL COLU
MNS IN LEGIBLE CAPITAL LETTERS USING A4 SIZE WHITE PAPER 1. Class for which admi
ssion is sought – VI / IX ______ Day Month Year 2. Date of Birth 3. Name of the bo
y in Full (CAPITAL LETTERS ONLY)
Latest Passport size photo to be pasted and attested by the Head of the institut
ion where the student is presently studying.
4. Father’s Full Name (CAPITAL LETTERS ONLY)
5. Mother’s Full Name (CAPITAL LETTERS ONLY)
LAST DATE FOR SUBMISSION OF APPLICATION FORM
6. Full Name of the Guardian (CAPITAL LETTERS ONLY) (If Parents are not alive)
10 DEC 2010 (FRIDAY)
EXAMINATION DATE
7. Nationality _______________ 8. State of Domicile (Parents) ______________ 9.
Please Tick ( ) your category in the box - General (a) Defence SC ST
02 JAN 2011 (SUNDAY)
If you belong to SC/ST Category, please specify your Sub Caste/Tribe____________
(Attach photo copy of caste certificate issued by the competent authority)
(b) If you belong to DEFENCE Category, please furnish the following details :Whe
ther serving Service Rank Date of Enrolment/ Date of Name of the or Ex-service N
umber Commission Discharge Record Office personnel
10. 11. 12.
Occupation of Father / Mother/ Guardian ______________/______________/__________
(Government/ Private Service/Business/Farming etc. to be specified) ___________
______ Monthly Income from all sources Rs ______________ Address for Corresponde
nce
P I 13.
N
Telephone No. with STD Code ____________________Mobile _________________________
_ e-mail ID if any _________________________
-214. Permanent Address
P I
N
15.
Choice of Examination Centre (Please see instruction Sl. No 7)
Ist ______________________________________ IInd_________________________________
_____ 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 DR
AFT IN FAVOUR OF PRINCIPAL, SAINIK SCHOOL GHORAKHAL PAYABLE AT STATE BANK OF IND
IA 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 a
s Full Fee Payee Candidate in case he is qualified, but low in merit of Sainik S
chool 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.) (PLE
ASE SEE PAGE NO 5). Choices :(i) (ii) (iii) Sainik School ______________________
________ Sainik School ______________________________ Sainik School ____________
__________________ DECLARATION BY PARENTS
I solemnly declare that the particulars furnished above are true and no informat
ion has been concealed. In the event any of the above information found incorrec
t at any time, I have no objection for removal of my son from the school and ref
und the scholarship amount if availed. Orders and Instructions given/issued from
time to time by the Principal will be binding on me. Date _____/______/ 2010 Pl
ace _________________ _________________________________________ Signature and Na
me of the Father/Mother/Guardian
PLEASE ENSURE FOLLOWING
1. Application Form should be completed and filled-in all respects. Incomplete A
pplication Form will be summarily rejected. Attach Hall Ticket & Identification
Card. (Blank Form attached with this application at page No 3) Name of the candi
date alongwith father’s name to be written on the reverse of Demand Draft. Attach
Caste certificates, where ever applicable.
2. 3. 4.
-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. 2. 3.
Name of the boy in full _____________________________________________________ Fa
ther / Guardian’s Name___________________________________________________ Class fo
r which admission is sought- VI / IX ______ Correspondence Address 4. Date of Bi
rth ____/__ _ /_______ Latest Passport size photo to be pasted and attested by t
he Head of the institution where the student is presently studying. P I N
Signature of the Boy Signature of the Issuing Officer Sainik School Ghorakhal, N
ainital
SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND SEND HALL
TICKET TO THE CANDIDATE FOR APPEARING IN ENTRANCE EXAMINATION
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
_________________________________
Father’s/Guardian’s Name ___________________________________ Class for which admissi
on is sought - VI / IX _____ Date of birth ______/______/________
Latest Passport size photo to be pasted and attested by the Head of the institut
ion where the student is presently studying.
Signature of the Boy
SAINIK SCHOOL GHORAKHAL WILL ALLOT EXAMINATION CENTRE, ROLL NUMBER AND RETAIN IT
FOR OFFICIAL USE
Signature of the Issuing Officer Sainik School Ghorakhal, Nainital
-4SAINIK SCHOOL GHORAKHAL, NAINITAL, UTTARAKHAND - 263156 INSTRUCTIONS Please re
ad 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 b
orn between dates given as under for the academic year 2011-12, for appearance i
n All India Sainik Schools Entrance Examination to be held on 02 Jan 2011 :(a) (
b) For Class VI For Class IX 02 July 2000 to 01 July 2001 (both dates inclusive)
02 July 1997 to 01 July 1998 (both dates inclusive)
3. Registration Fee :- Application has to be attached with a demand draft for Re
gistration 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 Branc
h (Code No. 01352). Name of the candidate alongwith father’s name to be written on
the reverse of demand draft. Cheques, Indian Postal Oders, Pay Order etc are no
t acceptable by the School. Registration fee paid once will not be refunded unde
r any circumstances. 4. Sainik School Ghorakhal, Nainital is one amongst the 24
Sainik Schools administered by the Sainik Schools Society, an autonomous body fu
nctioning under Ministry of Defence. These schools were established with the pri
mary aim of preparing boys for entry into Defence Services through National Defe
nce Academy, Khadakwasla and to bring public school education within the reach o
f 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 chi
ldren of Defence service personnel and ex-servicemen. 7. Examination Centres :-
Subject to availability of sufficient candidates for the written examination cen
tres 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 & Languag
e 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 standar
d 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. 90,00
0/- for the year 2011-12. 10% of fee will be increased every year as per existin
g rules. 10. Scholarship :- Scholarships are granted by the Government of Uttara
khand for the students of Uttarakhand domicile, based on Parent’s Income & Merit.
Boys who are admitted against the 25% quota reserved for children of Defence ser
vice personnel/ex-servicemen including those of Uttarakhand domicile are eligibl
e for a limited number of scholarships granted by Ministry of Defence. However,
diet subsidy is provided for all Uttarakhand domicile boys including Defence Cat
egory children. In addition, all the boys admitted except the Day Scholars are p
rovided with some financial assistance by Ministry of Defence. Continuation of S
cholarship once granted is subject to income of parents, discipline and academic
performance of cadets. 11. Repeater not allowed :- A boy can appear only once i
n 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 :- Applic
ations completed in all respects along with Hall Ticket, Identification certific
ate & Demand Draft towards Registration Fee must reach the ‘Principal, Sainik Scho
ol Ghorakhal, PO : Ghorakhal, Distt- Nainital, Uttarakhand PIN - 263156 on or be
fore 10 Dec 2010. Incomplete applications will be rejected and no communication
will be entertained in this respect. Registration fee once paid is not refundabl
e under any circumstances. 13. Application Form can also be downloaded from scho
ol’s website www.ssghorakhal.org.
14. Parents are requested to fill the Application Form only for boys not for gir
ls. Courier services are not available from Nainital/Haldwani to Sainik School G
horakhal. Please send all mail by Post. Principal Sainik School Ghorakhal, PO :
Ghorakhal
Distt. Nainital, Uttarakhand – 263156 Telephone 05942-220051, 220045, website : ww
w.ssghorakhal.org Query Timings : 0900 hrs to 1200 hrs, 1500 hrs to 1700 hrs (ex
cept Saturday)
-5ADDRESSES OF ALL SAINIK SCHOOLS Sl. No 1. Address Principal Sainik School Puru
lia PO : Sainik School Purulia Distt. Purulia, West Bengal – 723101 Principal Sain
ik School Kazhakootam PO : Sainik School Distt. Thiruvananthapuram, Kerala - 695
585 Principal Sainik School Tilaiya PO : Tilaiya Dam Distt : Koderma, Jharkhand
- 825413 Principal Sainik School Bijapur Distt. Bijapur, Karnataka -586102 Princ
ipal Sainik School Chittorgarh Dist. Chittorgarh , Rajasthan – 321001 Principal Sa
inik School Sujanpur Tira Distt. Hamirpur, Himachal Pradesh - 176110 Principal S
ainik School Satara Distt. Satara, Maharastra – 451001 Principal Sainik School Kap
urthala Distt. Kapurthala, Punjab – 144601 Principal Sl. No 13. Address Principal
Sainik School Imphal Post Box No 21 Distt. Imphal, Manipur – 795001 Principal Sain
ik School Punglwa Via-Medziphema, Distt - Peren, Nagaland – 797112 Principal Saini
k School Kodagu PO : Kudige Distt. Kodagu, Karanataka – 571232 Principal Sainik Sc
hool Kunjpura Distt. Karnal, Haryana – 132023 Principal Sainik School Amaravathina
gar Distt. Coimbatore, Tamil Nadu – 642102 Principal Sainik School Balachadi Distt
. Jamnagar, Gujarat – 361230 Principal Sainik School Nagrota Distt. Nagrota, Jamu
& Kashmir – 181221 Principal Sainik School Rewa Distt. Rewa, Madhya Pradesh – 386001
Principal Sainik School Rewari Vill. Gorthra Tappa Kheri, Sector - 4 Distt. Rew
ari, Haryana – 123401 Principal Sainik School Ambikarpur Bishanpur Road, Distt. Su
rguja, Chattishgarh – 497001 Principal Sainik School Bhubaneshwar Distt. Bhubanesh
war, Orissa -751005 Principal Sainik School Ghorakhal PO : Ghorakhal Distt. Nain
ital, Uttarakhand – 263156
2.
14.
3.
15.
4.
16.
5.
17.
6.
18.
7.
19.
8.
20.
9.
21.
Sainik School Korukonda
10. PO Korukonda Distt. Vizianagram, Andhra Pradesh 531241 Principal 22. Sainik
School Gopalganj PO : Hathwa Distt. Gopalganj, Bihar – 841436 Principal 23. Sainik
School Nalanda PO-Rajgir, Distt. Nalanda, Bihar - 803116 Principal 24. Sainik S
chool Goalpara PO : Rajapara Distt. Goalpara, Assam - 783133
11.
12.
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-6-
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