CRPF PUBLIC SCHOOL SECTOR XIV ROHINI NEW DELHI-110085

CLASS –XI ADMISSION CONFIRMATION SLIP 2009-10

(For CRPF Wards )
Category- GO SO OR
Name _________________________________________ Admn. No. _____________________
Father’s Name ______________________ Mother’s Name _____________________________
Father Mother
Present Rank/Category____________________________ _____________________________
Force No./ IRLA No. ____________________________ _____________________________
Serving Unit /BN ____________________________ _____________________________
Present Office Address ____________________________ _____________________________
___________________________ _____________________________
Office Tel. No. _____________________________ _____________________________
Mobile . Nos. _____________________________ _____________________________
Email ID _____________________________ _____________________________
Date of Retirement if sought. _______________________ _____________________________
Residential Address -
_______________________________________________________________________________
_______________________________________________________________________________
Residence Tel. Nos. /Mob. No. ____________________________________________________

Marks Obtained in Board Exam: Total ________________________ Agg.% ______________

Eng. __________ Maths _____________ Science ___________
Stream Opted –
Please encircle ( ) the appropriate stream and tick ( ) the optional subject.

Stream A SCIENCE (Eng, Maths, Phy, Chem) with Biology/Biotechnology/ Compt. Science

Stream B COMMERCE with Maths

Stream C HUMANITIES (Eng, Geog, Pol Sc, Hist) with Psy/ Hindi/ IP/ Fst/ H.Sc

1st installment of School Fee Deposited: Yes / No

In case student has not deposited the fee , Kindly deposit fee of Rs. ____________ by 5th June
2009. Admission shall be treated as cancelled if stream is not confirmed and fee is not deposited
on due date.

Student’s Signature with date Parents Signature with Name

Stream Allotted________________________________________________( For office use only)

Teacher I/C Signature with date