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KENDRIYA VIDYALAYA PATTOM (SHIFT II), THIRUVANANTHAPURAM

APPLICATION FOR ADMISSION TO CLASS XI - OPTION FORM FOR KV PATTOM STUDENTS


(2022-23)

NAME OF THE CANDIDATE


1 (as in class X mark list)
DATE OF BIRTH
2 (DATE/MONTH/YEAR)
PHOTO
3 ADMISSION NO

RESIDENTIAL ADDRESS WITH


4 PHONE NO.
OFFICIAL ADDRESS WITH
5 PHONE NO.
DEPT OF PARENT & SERVICE
6 CATEGORY
7 WHETHER SC/ST/OBC/GEN
ACHIEVEMENTS IN
SCOUTING/GUIDING/SPORTS &
8 GAMES/ADVENTURE
ACTIVITIES/NCC
MATHS MATHS HINDI/ TOTAL
ENGLISH SCIENCE SST
STD BASIC SKT MARKS
MARKS/GRADES OBTAINED IN THE
QUALIFYING EXAM            

9. AGGREGATE MARKS IN SCIENCE & MATHS --------------------------------


STREAM AND ELECTIVES APPLIED FOR*(CHOOSE FROM BELOW)

STREAM
OPTED SUBJECT COMBINATIONS
1 CHOICE I ENGLISH    
2 CHOICE II ENGLISH      
3 CHOICE III ENGLISH    
 We hereby declare that the above information furnished is true to the best of our knowledge

SIGNATURE OF CANDIDATE SIGNATURE OF PARENT

*STREAMS AND ELECTIVES OFFERED

1 SC. STREAM ENGLISH MATHS PHYSICS CHEMISTRY COMP. SCI


SC. STREAM (Bio.Tech-Shift
2 -1) ENGLISH MATHS/HINDI/IP PHYSICS CHEMISTRY BIOLOGY/BIOTECH
BUSINESS
3 COMM STREAM ENGLISH MATHS/HINDI/IP ACCOUNTANCY STD. ECONOMICS
HUMANITIES STREAM (Shift MATHS/HINDI/IP/SK ECONOMICS/POL.S
4 -1) ENGLISH T HISTORY GEOGRAPHY CI
DOCUMENTS TO BE ENCLOSED

A) Downloaded copy of class X mark list

B) Copy of caste certificate, in case of SC/ST/OBC candidates

C) Copy of certificates in achievements (Sports& Games/NCC/SCOUTING/ADVENTURE ACTIVITIES)

D) Copy of Aadhar card.

E) Affidavit from judicial first-class magistrate for single girl child fee concession
ADMITTED TO ________________ STREAM CLASS_____________SECTION_________

Admission Incharge PRINCIPAL

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