CENTRAL BOARD OF SECONDARY EDUCATION

AL QALAM INTERNATIONAL SCHOOL CBSE

Affiliation No: 1931228 | school Code: 56183
Registration Fortn ror Class IX - Regis(rntion Year: 2023-2024
Important Instructions
All entries should be Inade in CAPITAL LETTERS. Use dark blue/black ball point pen only.
Candidate's name. nat'l". nante and l)ate of Birth ntust be strictly as per 1/1c' Birth Cert(/icate
issued ln• the authorised Govt. Depart"lcnt.
Pn•/iv sueh Atustet; M'; Miss, Kuntari, Mrs, Snit, Shrie DI,• Col, Brig, Late, Fid/ slops and Conunas not 10 be used'
Give space betn•een first natne, tniddle nanlc? and surnatne. For Sex, "'rite I for and 2 Jbrfenl(l/e For
eategop:v. "'rite I nor Scheduled caste, 2 for Scheduled tribe, 3 for Other backward classes, d for OEC

and Sfor General. Code nos. allotted to the sulliects ape as follows.
is given to the school, no change in the data written on the TC is accepted.

DATE OF BIRTH (sa,ne as Birth Certificate) SEX SINGLE CHILD ANNUAL INCOME

SUBJECT NAME SUBJECT MEDIUM

CODE CODE

l. Language - I
006

3. Mathematics
4. Science
5. Social Science
6. Introduction
(Optional)
(English LAG & LIT)

2. Language - Il
Tamil (006) Malayalam (012) Hindi (085)

O Parents are requested to carefully fill up the details of the candidate.

O Copy of the Birth Certificate and Aadhar Card shall be attached.
O Requests ror further correction after the submission of this form to the office will not be
entertained.
Signaturc ofthe Student Signature ofthe Mother Signature ofthe Father