150331/2014-15/KVB/142 DATED: 22/05/2014

ADMISSION NOTICE
Registration form for admission to class XI (Science & Humanities) for the
session 2014-2015 are aaila!le in the "id#ala#a office for the students of
$endri#a "id#ala#a% &erham'ur and the students of neigh!oring $endri#a
"id#ala#a where Science/Humanities stream is not available(
Registration forms )ill !e aaila!le )(e(f. 2/!"/2!#$ between #!AM to
#%M on all )or*ing da#s( +he last date of su!mission of com'leted registration
form is !&/!'/2!#$ u( to #%M.
,andidates-.arents hae to 'roduce the do)n loaded co'# of the mar*
sheet-result of /ISS0-2014 at the time of collection of Registration form (
+he Registration for students of other Schools affiliated to (,&S0
-I,S0-&S0))ill !e considered after accommodating students of $012RI3/
"I23//3/ su!4ect to aaila!ilit# of the acancies(
N.).* NO E+TENSION O, THE DATE ,O- -e.istration /I00 )E
ENTE-TAINED.
(Sh.A.K.Mishra )
Principa
KV!B"rha#p$r(%#)
1)Vi&'aa'a ()*ic" B)ar&
2) Main %a*"
3) +i" c)nc"rn"&
1END-I2A 3ID2A0A2A4)E-HAM%5-46AN7AM8ODISHA9:'!!#!
,O-M O, O%TION ,O- ADMISSION IN TO Class*+I 2EA- 8 SCIENCE/H5MANITIES9
,O- O/N 13 /CANDIDATES O, NEI6H)O5-IN6 1.3. /HE-E SCIENCE/H5MANITIES ST-EAM IS NOT
A3AI0A)0E ,O- THE SESSION 2!#$*2!#"
Sl.No. Hea;s o< in<ormation Details
1 1ame of the candidates
2 2ate of !irth
5 6ather7s 1ame
4 8other7s 1ame
5 1ame of the School-$"
)here last studied(2015-2014)
9 ,lass )ith section (2015-2014)and
admission 1o((for students of $("(
&erham'ur
,lass :;;;;;;;;;;;Section:;;;;;
/dmission 1o(:;;;;;;;;;
< Stream in )hich admission is Sought S,I01,0 - H=8/1I+I0S
> Su!4ect to !e offered(/-&-,-2-0)?
@ .arents Accu'ation -,ategor#
(,entral Bot(-State Bot(-
.u!lic Sector =(+-.riate Sector-
Athers )ith official /ddress
10 .a# details &asic 'a#: Rs( Brade 'a#: Rs
11 Residential address of the 'arents
12 ,ontact 1o( Cand Cine-8o!ile Cand : 8o!ile:
15 +otal mar*s secured (Brade)-
,B./- D of 8/R$S
14 8ar*s -Brade-B. o!tained in Science(D
of mar*s)
15 8ar*s -Brade-B. o!tained in
8aths(D of mar*s)
19 ,ategor# (Ben-S,-S+-Single Birl ,hild)
(/ttach 'roof)
1< ,ertificate and leel of 'artici'ation &
declaration in 1,,-S,A=+S
&B=I20-B/80S& S.AR+S (/ttach 'roof()
I% do here!# declare that the information furnished a!oe are true the !est of m# *no)ledge and !elief( 8# claim for
admission )ill !e forfeiture% if the information furnished a!oe are found )rong at a later stage.
Si.nature o< the can;i;ate Si.nature o< the %arents with ;ate.
,O- ADMISSION SE0ECTION/O,ICE 5SE ON02
6orm Sl(1o-Regd(1o(;;;;;;;; ;;; /dmission 1o( ;;;;;;;;;2ate;;;;;;;;;;;
,ategor#;;;;;;;;;;;;;;;;;;;; Stream allotted;;;;;;;;;; Section: /-&-,
/dmission I-,( .RI1,I./C
$("(&0RH/8.=R%B8 $("(&0RH/8.=R%B8
=Sub>ect to be o<<ere;
/ 0ng( .h#( ,hem( 8aths( &io(
& 0ng( .h#( ,hem( 8aths( ,om't( Sci
, 0ng( .h#( ,hem( &io Hindi
2 0ng( 0co( Hist( Beo( Hindi
0 0ng( 0co( Hist( Beo( 8ath