CLASS XI REGISTRATION FORM 2020-21

“Form for mandatory filling of details of candidate

duly signed by Candidate/Parents and Teacher”
12 0 0 0 0 .
10 - / – (
)

Note: Attach a photocopy of Class X mark sheet & Aadhar Card.

Admission No. and 1155 & 12.03.2007

(To be filled by school) Date of Admission
Candidate Name(In ABHIGYA ASWAL
English)
/
Candidate Name in Regional
Language

Sex M
Caste If SC/ST/OBC- Submit certificate copy
Disability (if any)
Aadhaar No. of 373546998141
candidate
Father’s Name BIJENDRA ASWAL
(In English)

Father’s Name in Regional

Language
Mother’s Name VIJAY LAXMI ASWAL
(In English)

Mother’s Name in Regional

Language
Minority
Only Child (Yes/No) (Yes/No)
Annual Income of
Mother & Father Mother Father
E_mail ID Mobile No. 9412413209
Undertaking
I have thoroughly checked all the details as above filled in for registration of Class IX/XI in respect of my
ward. I have also filled details required in Hindi/Regional Language. I would not request for any change in
the details filled in the Examination form of my ward such as date of birth/ Candidate Name/Mother’s
name/Father’s name etc. If any mistake in student credential is detected before/after declaration of result, I
will solely be held responsible for the same.

Signature of Father:_____________________________ Signature of Mother:_________________________

Signature of Student:_________________________Signature of Class Teacher:____________________

Date:
Signature of School Principal
Seal of School bearing Address and Affiliation number
Note: This form is to be preserved by the school for purpose of verification by Board at any stage.