REGISTRATION FORM FOR CLASS XI (2021-22)

Navy Children School, Satya Marg, Chanakyapuri, New Delhi-110021

Class & Sec: XI Sec.________ Adm.No.:____________________

Admission Date : ______________________ Mobile No. __________________
Email ID :_____________________________ Aadhar No. __________________

Name of Candidate (Max 32 characters) :_____________________________________________

(Please do not prefix Mr/Master/Ms/Miss/Kum or Kumari etc. RAM KUMAR is correct way MR RAM
KUMAR is incorrect)

Mother’s Name (Max 32 characters) :_______________________________________

(Please do not prefix Dr/Prof/Rev/Smt or Mrs etc. KAUSHALYA RANI is correct way SMT KAUSHALYA
RANI is incorrect)

Father’s/Guardian’s Name (Max 32 characters): ________________________________________

(Please do not prefix Dr/Prof/Rev/Ft/Mr or Col etc. DASHRATH SHARMA is correct way
DR DASHRATH SHARMA is incorrect)

Sex: Male / Female _____________ . Cast: General / SC / ST / OBC _________________

Person with Disabilities: N.A. / Visual Impairment / Deaf/ Handicapped/ Hearing Impairment /
Locomotive Disability / Dyslexic / Spastic/Autistic ______________________

Subject 1 (Compulsory Language) with code : 301 English Core

Subject 2 with code/Medium
Subject 3 with code/Medium
Subject 4 with code/Medium
Subject 5 with code/Medium
Additional Subject 6 (if any)/Medium
Internal Subjects
:______________________________________
:______________________________________
:______________________________________
:______________________________________
:______________________________________
: 500 – Work Experience
502 – Health & Physical Education
503 – General Studies

Annual Income of Mother & Father : Rs.______________________________

Details of Sec (Class X)./Equivalent Exam Passed :Roll No.:____________________________

Year: _________Exam:_______________
Board/University:_____________________
Only child of the parents (Yes/No) :________

Do You belong to a Minority (Yes/No) :________

Signature of Parent_______________________

Student’s Signature _________________ Name : ________________________________

Class Teacher‘s Name & Signature : ________________________ (Name _____________________)

(for having verified data with Admission Register)

Please Note: Recent High Contrast Colour passport size photograph (i.e taken after 01/04/2021) of the
student clearly indicating the name & date (of clicking the photograph) below the photograph is also to be
submitted.

New Admissions: Please attach a photo copy of Class X passing Certificate OR CBSE Regn. Card OR
LOC issued by the previous school.