CLASS XI EXAMINATION FORM 2020-21

(For Class XII Board Examination 2021-22)

“Form for mandatory filling of details of candidate duly signed by candidate/ parents and teacher”

Admission No. Date of Admission

Candidate Name ( In
capital letters)
Mother’s Name( In
capital letters)
Father’s Name( In
capital letters)
SEX
Date of Birth
(Male/Female/Transgender)
Caste (GEN/OBC/SC/ST) Handicap (YES/NO)
Annual Income
Only Child (YES/NO) Minority (YES/NO)

Mobile Number

Email Id

Aadhar No.
Optional Subjects in class
XI
Class X Roll No

Class X (Year of passing)

Class X (Board)

Undertaking
I have thoroughly checked all the details as above filled in for registration of class XI Examination in
respect of my ward. 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 be 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

Note: This form is to be preserved by the school for purpose of verification by Board at any stage.