West Bengal Council of Higher Secondary Education

Vidyasagar Bhavan, 9/2 Block DJ, Sector-II, Kolkata - 700091

H.S. Registration Form for Period: 2022-2023

Institution Code 204581 Institution Name ASANSOL CHOWALAL MADHYAMIK VIDYALAYA (H.S)

PERSONAL DETAILS
Title: Miss

First Name: NEHA Middle Name: Last Name: RAM

Mobile No.: 8927475601 E-mail: Aadhaar No. 571448524151

Gender Female Caste Category General

Religion Hinduism Date of Birth 03-11-2005

PwD No

Present Address:- Permanent Address:-

Address Line 1 MURGASOL Address Line 1 MURGASOL

Address Line 2 ASANSOL Address Line 2 ASANSOL

Address Line 3 Address Line 3

Country India State/UT West Bengal Country India State/UT West Bengal

District PASCHIM BARDHAMAN Pin Code 713303 District PASCHIM BARDHAMAN Pin Code 713303

Father's Name RAJU RAM Mother's Name MIRA DEVI

Guardian's Name RAJU RAM Relationship Daughter

Blood Group O+

Citizenship Indian Alternate Email ID Alternate Mobile

No.

DETAILS OF ACADEMIC QUALIFICATIONS

[In case the Marks obtained in the Examination are in Grade Points, please convert them to Percentage by following the relevant guideline of the Information Brochure.]
Medium of writing Answers in H.S. Examination (For elective Hindi
subjects)

PARTICULARS OF THE LAST QUALIFYING EXAMINATION

Migrating? No

NON MIGRATING STUDENT

Board W.B.B.S.E.

Language 1 Hindi

Language 2 English

MARKS OBTAINED IN CLASS X

Math Ph. Sc. L. Sc. Geography

29 25 35 27

Roll No 304872N-0282 Year of Passing 2022 Admission Date 16-06-2022

SUBJECTS OFFERED

First Language Second Language

Hindi English

ELECTIVE SUBJECTS
Selected Set Set 3

Compulsory Elective 1 Political Science

Compulsory Elective Education

2

Compulsory Elective History

3

Optional Elective Environment Studies

Subject Lab Based: No

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1 Scanned copy of Aadhaar Card Click here to view

Signature of Applicant

DECLARATION OF HEAD OF THE INSTITUTION

Certified that the particulars given above are correct
Signature of Head Of The
Institution