KVPY - Online Application

http://www.kvpy.org.in/kvpy-1112/preview.php

APPLICATION FORM - 2011
Your application for "Stream SX" has now been incorporated into our system and you have been assigned the Application number

1149320. 1149320

Stream SX
Application No. 1 2 3 4 5 6 7 8 9 Name of Candidate (as in 10th Marks Card) Date of Birth (dd/mm/yyyy) Category Nationality Gender Exam Board X Std CBSE (% marks) XII Std CBSE (% marks) 66 N/A 85 NA N/A NA : : : : :

Sapna Kangotra 25/02/1994 General Indian Female N/A NA N/A NA N/A NA N/A NA

Science Maths Physics Chemistry Biology Others Aggregate

In the academic year 2011-2012 I have joined XII Standard in Science Subjects Centre for writing Aptitude Test (for SA, SB and SX only) : Delhi : English : Rawal International School : Nangla Sohna Road Faridabad - 121001 Hariyana

10 Language in which would like to take your Aptitude Test 11 Name of College/Institution 12 Address of College/Institution

HN- 2018/B Jawahar Colony, Air Force Road, Faridabad Haryana 121007 07838223644 sapnakangotra@gmail.com Candidate Signature:

CERTIFIED BY THE COLLEGE/INSTITUTION Ms. Sapna Kangotra is a bonafide student of Rawal International School and her date of joining XII Standard in Science Subjects is on: and all the information furnished by the applicant is correct.

Date: Place:

Signature of the Head of the Institution Name: Institution Seal:

However, your application is not complete until you do the following:
1. Take a print out of this Application Form and make sure that it is complete with a application number and your signature. Please also obtain your School / College Principal’s signature and seal in the appropriate place. Do not make any changes / alterations to this page.

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06-08-2011 PM 05:29

Send all the above documents so as to reach on or before 12/09/2011 to The Convener. clearly indicating the stream (SA. You may check to see that your application is complete and all documents received at the KVPY office by going to http://www. No.for SC/ST candidate) “to any core banking branches of STATE BANK OF INDIA. 200/.for SC/ST candidate) by means of remitting Rs.org. Each recommendation letters must be placed in different envelopes. Issue of hall ticket – through KVPY website (for online applicants only for SA.kvpy. 10270577392" and send the “Pay-In-Slip” (Applicants are instructed to download the “Pay-In-Slip” from KVPY web site . SB): Website URL: http://www. 4.org. SB.org. Ensure that you also write the Application Number on the reverse of the Pay-In-Slip as well as other documents that you send along with this application.in/ Login ID – Application number Password – Date of Birth Application No. Last date for closing of online application is 9th September 2011 at twelve O’ clock midnight 9. Stream SP (Medicine) – The application must be accompanied by two recommendation letters in the prescribed forms one form from Teacher / Instructor in your College/University and the other from the Advisor/Supervisor of your KVPY project (Bio-Medical Project). sealed and with signature of the person giving the recommendation across the sealed envelopes.(Rs. payable at all branches in India. 10. KVPY Indian Institute of Science Bangalore – 560 012. For Stream SX – The student aspiring to join undergraduate program in Basic Sciences for the session 2012 – 2013. 1149320 2 of 2 06-08-2011 PM 05:29 . Paid into the credit of "Kishore Vaigyanik Protsahan Yojana(KVPY) A/c. 5. These sealed envelopes must accompany with your application. SP).org.(Rs. SX. If you have obtained a letter grade in your qualification exam please convert into an appropriate % and fill-up in the application form. Attested copies of your marks statement of the qualifying examination(self attestation is acceptable ) for Stream SP only 7.Online Application http://www.http://www. 100/. 100/. Please allow at least 20 days after sending your documents for postal delays for status information. Enclose the following : Caste certificate in the case of SC/ST candidate Medical certificate from the prescribed authority in case of physically and visually challenged candidates. 100/. 3. 200/.(Rs.KVPY . * Girl students are exempted from payment of processing fee. SX. 8.php 2. 6.in/kvpy-1112/preview.kvpy.for SC/ST). ** Physically and visually challenged students are also exempted from payment of processing fee.kvpy.in.in/) along with the Application. 200/.kvpy. Project report in the case of SP – Basic Sciences / Medicine Original Pay-In-Slip of the Processing fee of Rs. Application Processing Fee: * ** Processing fee for application is Rs.