Scribd
Upload
109 views

EMRS Class VI Application Form 2023 24

The document is an application form for admission to class VI at Eklavya Model Residential School in Moreh, Manipur for the 2023-24 academic year. It collects personal details of the applicant such as name, date of birth, parents' details, income, school details. It lists the required documents and provides information on the admission process schedule and exam pattern.

Uploaded by

Arif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
109 views

EMRS Class VI Application Form 2023 24

The document is an application form for admission to class VI at Eklavya Model Residential School in Moreh, Manipur for the 2023-24 academic year. It collects personal details of the applicant such as name, date of birth, parents' details, income, school details. It lists the required documents and provides information on the admission process schedule and exam pattern.

Uploaded by

Arif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

EMRSST APPLICATION FORM FOR ADMISSION IN CLASS VI (2023-24)

EKLAVYA MODEL RESIDENTIAL SCHOOL Affix a recent


passport
(Under NESTS, Ministry of Tribal Affairs, Govt. of India) size photograph and
Affiliated to CBSE No. 1220150, Code No. 37562 pinned 2 copy of the
Chikim Village, Moreh, Tengnoupal District same (do not attested
Website: www.emrsmoreh.com Email: [email protected] / [email protected] your photo)

Roll No. (to be filled by the school)

Fill in all the details in CAPITAL Letters only

1. Name of the Candidate:……..………………………………………………………………………………………………………………….……………..


2. Date of Birth (dd/mm/yyyy) : …………………………………. Age:……………………………………………………(as on 1st April, 2023)
3. Sex (Male/Female):……………………………………………………………………Blood Group: …………………..………………………………..
4. Identification Mark: ……………………………………………………………………………………………………………………………...................
5. Father’s Name:…………………………………………………………………………….Occupation:………………………………………………………
6. Mother’s Name:………….………………………………………………………………Occupation:………………………………………………………
7. Legal Guardian’s Name:……………………………………………………………Occupation:………………………………………………………
8. Relation with the candidate:………………………………………………………………………………………………………………………………..
9. Total Annual Income of the Parents : …………………………………………..….(Original Income certificate to be enclosed)
10. Address:………………………………………………P.O:.………………………………P.S:.……………………..Sub-Division:……………………….
District:……..………………………Pin Code:………..…… Mobile No.:…………….…..…………../Whatsapp No.:.……..………………….
11. Bank Details of the candidate: Name of bank :……………………………………………………………………………………………….……..
Account No. :………………………………..………….. Branch: ………………………………….…………..IFSC: ……………………….……………
12. Name of Tribe: …………………………………… Mother Tongue …………..……………… Aadhaar No ………………………………………
13. Disability Status: (Yes/No) ……………………… If Yes, types of disability and its percentage ………………………………………..
14. Any Brothers/Sisters studying in this EMRS (YES/NO): ……………………If Yes, Number(s):………………………….…………….
Name: (i).…………………………………………………………………….. Class……..………………
(ii).………………………………………………………………..…. Class………..……………
15. Details of school where the student passed class-V:
(i) Name of the School:…………………………………………………………………………………………………………………..……..……………….
(ii) Address of the School:………………………………………………………………………………… (iii) Division:………………………………..
(iv) Percentage: ……………………… (v) Medium of Instruction: ……………………………………………………….
16. Documents to be enclosed at the time of submission (Self attested Xerox copy):
(i) Residential/Domicile certificate (ii) ST certificate
(iii) Birth certificate/Aadhaar Card (iv)Income Certificate (Original)

DECLARATION
I certified that the information given above is true to the best of my knowledge and belief. In case any of the
information given above is found incorrect, I will abide by the decision of the EMRS.

Full Signature of the Applicant Full Signature of the Father/Mother/Guardian


EKLAVYA MODEL RESIDENTIAL SCHOOL, MOREH
ADMIT CARD
Roll No. (to be filled by the school) Affix recent
passport
Date & Day of Examination:4th March, 2023 (Saturday) Size photograph
Time: 10.00 Hrs. (Candidates must report 30 minutes before) with decent
Venue of Examination: EMRS, Moreh haircut

Fill in all the details in CAPITAL Letters only.


1. Name of the Candidate :Mr./Miss ……………………………………………………………………………..
2. Date of Birth (dd/mm/yyyy):…...………………………………………………………………………………………
3. Identification Mark : ………………………………………………………………………………………….
4. Father’s/Guardian’s Name :.………………………………………………………………………………………….

Signature of Candidate Signature of


Principal cum Administrator/
Authorized Official EMRS, Moreh

----------------------------------------------------cut here----------------------------------------------------------------------

IMPORTANT INFORMATION:
Schedule of admission processes:
1 Start of Issue & received of Application Form 7th February, 2023 (Tuesday)
2 Last date of Form Submission 28th February, 2023 (Tuesday, till 1:00pm)
3 Entrance Test (EMRSST) 4th March, 2023 (Saturday)
4 Entrance Test Result 7th March, 2023 (Tuesday)
5 Counselling/Admission (only 1 day) 15th March, 2023 (Friday)
6 Report for hostel (Provisional) 1st April, 2023 (Saturday)
7 Start of Session 4th April, 2023 (Tuesday)

Composition of the test:


Duration of Examination will be of two (2) hours. It will consist 100 Questions of Objective Type Questions based on
the subjects given below. Difficulty Level of the test will be of the class they have passed in 2022-23 session (Class-V).

Type of Test Nature of Question No. of Questions Marks Duration


Mental ability Test Objective Type
50 50
Question
Arithmetic Test Objective Type
25 25
Question
2 Hours
Language (English/Hindi) Test Objective Type
25 25
Question
Total - 100 100

You might also like