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: Mr.

First Name: AVOY Middle Name: Last Name: MISTRY

Mobile No.: 8509380793 E-mail: Aadhaar No. 751246280167

Gender Male Caste Category General

Religion Hinduism Date of Birth 26-10-2006

PwD No

Present Address:- Permanent Address:-

Address Line 1 GOPALNAGAR Address Line 1 GOPALNAGAR

Address Line 2 Address Line 2

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 CHANDRA BHAN MISTRY Mother's Name SULOCHANA MISTRY

Guardian's Name CHANDRA BHAN MISTRY Relationship Son

Blood Group B+

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

25 38 37 29

Roll No 304801N-0058 Year of Passing 2022 Admission Date 20-06-2022

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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Name of Document(s) View Uploaded Document(s)

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