ALWIN INTERNATIONAL PUBLIC SCHOOL

DECLARATION FORM FOR STD X STUDENTS- 2023-2024

INAME OF THE CANDIDATE WITH INITIALS EXPANDED (In capitallett

2 D4T OF
CLASS SEC
3. COMMUNITY SC SCA ST SS MBC| BC JBCM OC DNC 1, GENDER MF
Plcasc tick appropriate column

5. RELIGION 11- HINDUM- MUSLIM-CHRISTIAND-OTHER

6.FATIHER'S NAME OF THECANDIIDATE WITH INITIALS EXPANDED (In capital letters

7. 1OTHER'SNAME OF THE CANDIDATE WITH INITIALS EXPANDED (In capital letter

8. FATIHER'S MOBILE NO.

9. AADHAR NO.

10. EMIS NO

I1. EMAIL ID(FATHERMOTHER)

12. PARENT'S ANNUAL INCOME (In Rupces) 13. ONLY CHILD OR NO1 YES NO
14. SUBJECT CODE SUBJECTS CODE SUBJECTS CODE
English lang. & Literature 184 Mathematics 041
Tamil 006 Science 086
HindiCourse B 085 Social Studies 087
French 081 IT 402
()T declare that the particulars mentioncd above are true and correct. Ialso declare
thatI will not ask for any
correction in the above particulars in futurc.
(0)T declare that subjcct and code numbers as mentioncd in SL. No. 14 arc
correct.
SIGNATURE OF THE PARENRT/GAURDIAN SIGNATURE OF THE CANDIDATE
SIGNATURE OF THE CLASS TEACHER SIGNATURE OF THE PRINCIPAL