Registration Cum Admission Form <br> For Provisional Admission To Class XI

Please fill in the blank spaces below with the information asked. This will help us maintain a record of your ward.

Admission Number (To be filled by office)

Principal's Signature and Remarks

_______________________________

Student Information

Name of Student*

Gender*

Date of Birth*

Recent Photograph of the student*

Details Of Parents

Father's Name*

Father's Profession

Contact Number*

Mother's Name*

Mother's Profession

Contact Number*

Email Address*

Present Address*

Permanent Address

Academic Information

Name of previous school

Board

Board Roll no

Marks scored in %

	Class X Mid-Term Exam (80 Marks)	Class X Pre-Board Exam (80 Marks)	Total of Mid-Term & Pre-Board (160 Marks)
English
Hindi/Punjabi*
Mathematics
Science
Social Studies
Total

*KINDLY CHOOSE THE SECOND LANGUAGE ONLY

Stream applied for: (Non-Medical/ Medical/ Commerce/ Humanities)

Documents required to be attached :

Self-attested copy of Mid-term and Pre-board result of Class X
Admit card of CBSE Board Class X/CBSE Registration Card of Class IX

MISCELLANEOUS DETAILS

Medium of instruction*

Languages: Read

Write

Speak

Does the child require school transport?

Category:General/SC/ST/OBC/Other

Special Category:Single Girl Child/Specially Abled/EWS/Other

Aadhar/Enrollment Number*

SIBLING DETAILS

Name

Age

Class

School Studying in

Declaration

I hereby certify that the above information provided by me is correct and I understand that if the information is found to be incorrect or false, my ward shall be automatically debarred from the selection/admission process, without any correspondence in this regard. I also understand that the application/registration does not guarantee admission to my ward. I accept the process of admission undertaken by the School, and I will abide by the decision taken by the School Authorities.

SIGNATURE OF THE PARENTS

DATE

Office Remarks

OFFICE USE ONLY

Correct entries from the Admission Forms to Admission and Withdrawal Register have been made on page number .............., dated .............

School Office

Principal's Sign and Remarks

Registration Cum Admission Form For Provisional Admission To Class XI