MAHARSHI PATANJALI VIDYA MANDIR, PRAYAGRAJ

FORM FOR CHOOSING THE OPTIONAL STREAM AND SUBJECTS IN CLASS – XI (Session 2021-22)
(To be filled by MPVM Students)

1. Name of the Student : _____RYTHAM JATWANI

2. Board Roll Number : ____________________________Section of Class X ______B_______
3. Admission Number of the student : ________8403_______
4. Aadhar Card No. of the student :___933956922542________
5. Father’s Name : ______MANISH KUMAR________
Address : _______85 A/ 166 , near unani medical college,himmatganj gtb nagar ,prayagraj Uttar
Pradesh._________
6. E-mail address _______jatwanirytham15@gmail.com________
7. Phone Number 1. ___8299721686____ 2. ____8318991181____

8. Please put a tick mark (√ ) for the subject combination you want to opt for : (Two combinations in a group can be
indicated, clearly mentioning the 1st & the 2nd preference).

I. (a) English, Mathematics, Physics, Chemistry, Computer Science ( )

(b) English, Mathematics, Physics, Chemistry, Hindi ( )
(c) English, Mathematics, Physics, Chemistry, Economics ( ) Maths Group
(d) English, Mathematics, Physics, Chemistry, Biotechnology ( )
(e) English, Mathematics, Physics, Chemistry, Informatics Practices ( )
(f) English, Mathematics, Physics, Chemistry, Physical Education ( )
(g) English, Mathematics, Physics, Chemistry, Legal Studies ( )

II. (a) English, Biology, Physics, Chemistry, Applied Mathematics ( )

(b) English, Biology, Physics, Chemistry, Hindi ( )
(c) English, Biology, Physics, Chemistry, Informatics Practices ( ) Bio Group
(d) English, Biology, Physics, Chemistry, Physical Education ( )
(e) English, Biology, Physics, Chemistry, Legal Studies ( )

III. (a) English, Biotech, Physics, Chemistry, Applied Mathematics ( )

(b) English, Biotech, Physics, Chemistry, Hindi ( )
(c) English, Biotech, Physics, Chemistry, Informatics Practices ( ) Biotech Group
(d) English, Biotech, Physics, Chemistry, Physical Education ( )
(e) English, Biotech, Physics, Chemistry, Legal Studies ( )

IV. (a) English, Accountancy, Bus. Studies, Economics, Physical Education ( )

(b) English, Accountancy, Bus. Studies, Economics, Hindi ( )
 (c) English, Accountancy, Bus. Studies, Economics, Informatics Practices ( 2st preference )
Commerce Grp.
(d) English, Accountancy, Bus. Studies, Economics, Applied Mathematics ( 1st preference )
(e) English, Accountancy, Bus. Studies, Economics, Legal Studies ( )

V. (a) English, History, Economics, Psychology, Hindi ( )

(b) English, History, Economics, Psychology, Legal Studies. ( ) Humanities
(c) English, History, Economics, Psychology, Informatics Practices ( )
(d) English, History, Economics, Psychology, Physical Education ( )

Signature of the Father __________________________________ Mobile Number ________________________

Signature of the Mother __________________________________ Mobile Number ________________________

Date: …24/4/21…. Signature of the student

__________________________________________________________________________________________

SPECIAL ATTENTION:

1. It is to be noted that the subject stream and optional subject will be awarded on student’s choice & subject
change, once allotted, would not be allowed.
2. Physical Education as the first option would be given to the PCM students only after qualifying the entrance test
& showing merit certificates in the related field. The date and time for the test would be informed later.

This form must be submitted latest by 26th April 2021.(on line through Whatsapp to the class teacher of previous
session)