DETAILS REQUIRED FOR CLASS IX BOARD REGISTRATION FORM

PLEASE FILL IN BLOCK LETTERS

 CANDIDATE’ S NAME: ___________________________________________

 MOTHER’S NAME : ______________________________________________
 FATHER’S NAME: _______________________________________________
 DATE OF BIRTH : __________________( COPY OF BIRTH CERTIFICATE TO BE ATTACHED)
 GENDER : _________________________
 DO YOU BELONG TO THE MINORITY COMMUNITY: YES/NO
 CATEGORY : SC ST OBC (IF APPLICABLE PROOF TO BE ATTACHED)

 DYSLEXIC( C) /HANDICAPPED(H) /SPASTIC (S) /AUTISTIC(A) /BLIND(B) :__________

(IF APPLICABLE PROOF TO BE ATTACHED)

SUBJECTS OFFERED:

1. ENGLISH
2. HINDI/SANSKRIT/FRENCH/GERMAN
3. MATH
4. SCIENCE
5. SOCIAL SCIENCE
6. COMPUTER APPLICATIONS

 THIRD LANGUAGE STUDIED UP TO CLASS VIII:________________________

 ANNUAL INCOME OF FATHER: ______________ANNUAL INCOME OF MOTHER: _________
 ARE YOU THE ONLY CHILD OF YOUR PARENTS:______________
 MOBILE NO :_______________________________
 E – MAIL ID :________________________________
 AADHAR NO.: _______________________________(MANDATORY, COPY OF THE ADHAAR CARD
TO BE ATTACHED)
 ADM. NO_________________ DATE OF ADM.______________

___________________ _______________ ________________

CANDIDATE’S SIGN PARENT’S SIGN TEACHER’S SIGN

IMPORTANT:

Please ensure that the form is filled carefully as no correction at a later stage will be entertained.
It is mandatory to fill in all the details.

A recent high contrast passport size black & white photograph of the student taken in school
uniform is to be submitted along with the form. The name of the candidate and the date on
which the photo has been clicked is to be printed on the photograph. Please do not staple the
photo with the form; the photo should only be clipped with the form.

CBSE Registration Fee of ` 175/- IN CASH to be deposited along with the form.

N.B: Last date of submission: 23rd July 2018

 DETAILS REQUIRED FOR CLASS XI BOARD REGISTRATION FORM

PLEASE FILL IN BLOCK LETTERS

 CANDIDATE’ S NAME: ___________________________________________

 MOTHER’S NAME : ______________________________________________
 FATHER’S NAME: _______________________________________________
 DATE OF BIRTH : __________________( COPY OF BIRTH CERTIFICATE TO BE ATTACHED)
 GENDER : _________________________
 DO YOU BELONG TO THE MINORITY COMMUNITY: YES/NO
 CATEGORY : SC ST OBC (IF APPLICABLE PROOF TO BE ATTACHED)

 DYSLEXIC( C) /HANDICAPPED(H) /SPASTIC (S) /AUTISTIC(A) /BLIND(B) :__________

(IF APPLICABLE PROOF TO BE ATTACHED)
 SUBJECTS OFFERED:
1. __________________________
2. __________________________
3. __________________________
4. __________________________
5. __________________________

 ANNUAL INCOME OF FATHER ______________________

 ANNUAL INCOME OF MOTHER ______________________

 DETAILS OF SECONDARY/EQUIVALENT EXAM PASSED:(COPY OF CLASS X MARK SHEET

TO BE ATTACHED)
1. ROLL NO.________________________
2. YEAR __________________________
3. EXAM__________________________
4. BOARD__________________________
 REGISTRATION NO. OF CLASS IX ( IF APPEARED FROM CBSE) ___________________
 ARE YOU THE ONLY CHILD OF YOUR PARENTS:________________________________
 MOBILE NO_______________________________
 E – MAIL ID________________________________
 AADHAR NO. ______________________________________(MANDATORY, COPY OF THE
ADHAAR CARD TO BE ATTACHED)
 ADM. NO_______________ DATE OF ADM______________

______________ ________________ ________________

CANDIDATE’S SIGN PARENT’S SIGN TEACHER’S SIGN

IMPORTANT:

Please ensure that the form is filled carefully as no correction at a later stage will be entertained.
It is mandatory to fill in all the details.

A recent high contrast passport size black & white photograph of the student taken in school
uniform is to be submitted along with the form. The name of the candidate and the date on
which the photo has been clicked is to be printed on the photograph. Please do not staple the
photo with the form; the photo should only be clipped with the form.

CBSE Registration Fee of ` 175/- IN CASH to be deposited along with the form.

N.B: Last date of submission: 23rd July 2018