Registration XI Form

Enter Registration No Enter Phone No

Registration Form For Admission Of Class XI

Application Details:-
1. Name of Child (Master/Miss): [StudentName]
2. Father's Name: [FatherName]
3. Mother's Name: [MotherName]
4. Local Guardian (Name & Address): [LocalAddress]
5. Permanent Address: [PermanentAt] Po: [Po] Ps: [Ps]
Dist:- [Dist] Pin-Code:- [PinCode] Phone No: [PhoneNO]
6. Present Address:-At:- [PresentAt] Po: [PO1] Ps: [PS1]
Dist:- [Dist1] Pin-Code:- [PinCode1] Phone No: [PhoneNO1]
7. Date of Birth (According to Aadhar Card/Birth Certificate): [Dob]

8. Sex: [Gender] 9. Nationality: [Nationality] 10. Mother Tongue: [Mothertongue]
11. Religion: [Religion] 12. Aadhar No.: [AdharNo]
13. Category (GEN/SC/ST/OBC): [Category]
14. Are you the only Girl or Child of your parents:- [GirlsChildParent]
15. Annual Income of Mother & Father (Rs): [AnnualIncome]
16. Class in which admission is sought (in words): [ClassInAdmission]
17. Name of the Previous Board and Passing Year:- [PreviouspassingYear]
Total Mark:- [TotalMark] Percentages:- [Percentage]
18. Whether Transportation Facility required:- [TransPortationFacility]
19. If so, point from where the pupil is to be picked up:- [Pickedup]
20. Marks of identification (1): [Markidentificarion] (2.):- [Markidentificarion1]
Registration No (Previous Board):- [RegNOPreviousBoard] Faculties:- [Faculties]
Subject Code- [SubjectCode1] :- [SubjectCode2] :- [SubjectCode3]
:- [SubjectCode4] :- [SubjectCode5]
Note: Any dispute will fall under the jurisdiction of Begusarai (Town) court only.

Signature Of Candidate
Signature Of Parent/Guardian