K V BARRACKPORE AFS Paste a recent

CLASS XI STUDENT DATA / OPTION FORM FOR 2022-23 colour photo

FOR KV BARRACKPORE (AFS) STUDENTS

Stream choice ( Tick any one ) : Science / Commerce / Humanities

Section of class X during last session A / B / C / D Please tick the correct option )
1 (a) NAME OF STUDENT
1 (b) DATE OF BIRTH
2 (a ) FATHER’S NAME
2 ( b) MOTHER’S NAME
3 (a) Admission No. ( Last
four digit of student UBI ID)
3 (b) Gen/SC/ST/OBC
Attach a Xerox copy
4. Mob. No. Father
Mother
Student
5(a) E-mail ID:

5(b) Residential Address

6 Total marks obtained in five main subjects in class X. Attach a Xerox copy of the mark sheet

Name of the English Hindi Maths Maths Science So Sc. TOTAL

subject Std Basic %age
( 041)
(241)
Max marks 100 100 100 100 100 100 500
Marks scored

7. OPTION TICK ANY ONE

HUMANITIES - A ENG,HINDI ,GEOGRAPHY,HISTORY,ECONOMICS

ENG, ,BST, ACC ,ECO,  MATHS  HINDI  IP

COMMERCE B

ENG, PHY,CHEM,MATHS, COMPUTER SCIENCE

SCIENCE C
ENG, PHY,CHEM,BIO  MATHS  HINDI  IP
SCIENCE D 
We hereby undertake that the final option of stream will be as per KVS guidelines for admission
2022 -23 and I shall abide by the rules and regulations of the school/KVS. We also undertake that the
above information is true and to the best of our knowledge.

Date: Signature of the student Signature of mother Signature of father