BLANK A4 FORM Offline / Walk-in Admission Application Session 2026
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Nova Rise Academy Crest
Nova Rise Academy
Learn. Rise. Lead
SajurMore, Suti,Mushidabad, W.B - 742224
Tel: +91 8653782291 • Email: nra.adm2026@gmail.com
OFFLINE
ADMISSION
2026
Application Serial: ADM-2026-_______________ (For Office Record)
Campus / Branch: Boys Campus Girls Campus
Class Applied: Pre-Primary / KG Class 1 - 5 Class 6 - 8 Class 9 - 10 Class 11 - 12
Stream (For Class 11/12): Science (PCM/PCB) Commerce Humanities / Arts
Boarding Choice: Residential Boarder (Hostel) Day Scholar (Non-Resident)
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1. Candidate Particulars (Please fill in BLOCK LETTERS)
Candidate Full Name:
Date of Birth (DD/MM/YYYY): Gender: Male Female Other
Blood Group: Nationality: Indian
Aadhaar / Birth Reg No: Religion / Category:
2. Parents & Guardian Particulars
Father's Full Name: Father's Occupation:
Mother's Full Name: Mother's Occupation:
Primary Mobile (SMS/WhatsApp): Alternate Mobile:
Email Address:
Present Residential Address:
Permanent Address:
3. Previous Academic Background
Previous School Name:
Last Class Passed: Marks / GPA / Grade:
Declaration: We hereby declare that the particulars furnished above are true and complete. We understand that admission is strictly governed by academy regulations. In the event of any discrepancy or disciplinary infraction, the academy reserves the right of admission forfeiture.
Signature of Candidate
Date: _________________
Signature of Parent / Guardian
Date: _________________
Admission In-Charge / Principal
Nova Rise Academy Seal
Registration Fee: ₹1,500
Receipt No: __________________
Payment Mode:
[ ] Cash   [ ] UPI   [ ] Card / Bank
Admission Decision:
[ ] Approved   [ ] Waitlist   [ ] Review
Nova Rise Academy • Offline Admission Form • Submit at Campus Admissions Desk with 2 photos, DOB certificate copy & previous marksheet.