STUDENT INFORMATION (CLASS XI)

(Fill the Form in BLOCK LETTERS & Submit to the Class Teacher)
1. PERSONAL
a) Name :
b) Class :
c) D.O.B :
d) Ph. No. :
e) E. Mail :
f) Address :
* Permanent:
* Local :

g) Aadhar Card No.:

h) National Identity No.:
(For International Students)
i) Name of Xth Standard Board :
j) Xth Standard Board Examination Roll No.:
k) Subject Combination in Class XI:
Subject 1: Subject 4:
Subject 2: Subject 5:
Subject 3: Subject 6:
l) Caste: (Give √ ) General ST SC OBC
m) Full Signature of the Student:

2. FAMILY
a) Mother's Name :
Ph. No. :
E. Mail :

b) Father's Name :
Ph. No. :
E. Mail :

c) Family Income:

d) Single Child : Y/N

e) Mother's Full Signature:
f) Father's Full Signature:

3.HOSTEL/PG
a) Name of Incharge :
Address :
Ph. No. :
E. Mail :
Full Signature:

4.OTHERS
a) Name of Local Guardian :
Address :
Ph. No. :
E. Mail :
Full Signature:

5. Bus No. & Stoppage:

6. Documents to be submitted to the Class Teacher:

a) Photocopy of Class Xth Admit Card b) Photocopy of Class Xth Mark Sheet
c) Photocopy of Aadhar Card ( For Indians ) d) Photocopy of Caste Certificate ( If Any )
e) Magistrate affidavit for single child ( Original Copy ) f) Photocopy of National Identity ( For Others )