APPLICATION FOR ADMISSION INTO COLLEGIATE GIRLS HOME 1. Name of the applicant : 2. Present address : 3. Permanent address : 4. Date of Birth and age : 5. Caste : 6. Class passed : 7. School where studied : 8. Name of the Children Home : the candidate belongs 9. Is the applicant orphan semi : orphan or has both the parents 9. Income of the parent/Guardian: Rs.11,000/p.a. 10.Occupation of the Parent/ : Guardian 12.Reasons for seeking admission: 13.Health condition of the : candidate 14.Person who is authorized to visit Home to see the candidate SIGNATURE OF THE CANDIDATE CERTIFICATE OF THE SUPERINTENDENT COLLEGIATE HOME This is to certify that the particulars given above are true and she passed................. Class being inmate of this Children Home. Date : SIGNATURE OF THE SUPERINTENDENT