BIHAR SCHOOL EXAMINATION BOARD, PATNA

ONLINE REGISTRATION/PERMISSION APPLICATION FORM

FOR THE SECONDARY EXAM, 2025 (SESSION 2024-25)

1. PLEASE FILL THE FORM IN ENGLISH BLOCK LETTERS AND EACH WORD WILL BE
SEPERATED BY A BLANK BOX. 2. Please tick (√)
( the appropriate box

1- Category: REGULAR PRIVATE

2- School Code:
Signature of Students
3- School Name:

4- fo|kFkhZ dk uke:
(fgUnh esa)
Student’s Name:
(In English)
5- ekrk dk uke:
(fgUnh esa)
Mother’s Name:
(In English)
6- firk dk uke:
(fgUnh esa)
Father’s Name:
(In English)
7- Date of Birth: (DD/MM/YYYY) Please tick (√)
√) the appropriate box
8- Gender: Male Female Trans 9- Nationality: Indian Other
10- Caste Category: GENERAL
ENERAL EBC BC SC ST
11- Differently abled: No Yes Specify if yes:
12- Religion: Hindu Muslim Sikh
Si Jain Baudh
dh Christ Other
13- Area: Rural Urban 14- Marital Status: Married Unmarried
15- Mobile No.:

16. d`Ik;k **vk/kkj uacj** vafdr djsaA

¼;fn fo|kFkhZ
FkhZ dks **vk/kkj uEcj** vkoafVr ugha gqvk gS] rks fo|kFkhZ ds
}kjk bl vk'k; dh ?kks"k.kk LraHk&17 esa dh tkuh vko';d gksxh fd
mUgsa **vk/kkj uacj** vkoafVr ugha gqvk gS½
PLEASE MENTION "AADHAR NUMBER"
(If the student has not enrolled in Aadhar and doesn't have
"Aadhar number" then he/she is required to submit declaration
vk/kkj uacj
in column 17 that he/she has not been enrolled in Aadhar and Aadhar Number
has not got "Aadhar number".)

17. ;fn fo|kFkhZ ds }kjk mi;qZDr LraHk&16 esa **vk/kkj uacj** vafdr ugha fd;k x;k gS] rks muds }kjk fuEukafdr ?kks"k.kk dh tk,xh %&
¼d`Ik;k uksV djsa fd ;gk¡ fdlh Hkh rjg dh xyr ?kks"k.kk ds fy, fo|kFkhZ ds fo:) dkjZokbZ dh tk ldsxh rFkk **vk/kkj uEcj** ugha gksus ds laca/k esa bl
feF;k@xyr ?kks"k.kk ds dkj.k mudk vH;fFkZRo jÌ fd;k tk ldrk gS½
?kks"k.kk %& eSa] ,rn~ }kjk ?kksf"kr djrk@djrh
@djrh gw¡ fd eSua s **vk/kkj uEcj** vkoafVRk djus ds fy, vkosnu ugha fd;k gS rFkk eq>s
**vk/kkj uEcj** vkoafVr ugha gqvk gSA eSa ;g Hkh le>rk
le>rk@le>rh gw¡ fd esjs }kjk dh xbZ bl feF;k@xyr ?kks"k.kk ds vk/kkj ij
esjk vH;fFkZRo jÌ fd;k tk ldrk gSA
If student has not given "Aadhar number" in column 16 above, then following declaration should be given by the student:-
student
(Please note that any WRONG DECLARATION made here, may invite action against the candidate and his/her candidature may
be cancelled due to making falseful declaration about non-allotment
non of "Aadhar number")
DECLARATION :- I, hereby declare that I have not enrolled in Aadhar and have not got any "Aadhar number". I
also understand that any false declaration made by me in this regard may have consequence of cancellation of my
candidature.

fo|kFkhZ dk gLrk{kj
Signature of Student
18- Email-ID :

19- Address:

Pin Code

20- Bank A/C No.:

21- IFSC Code:

22- Name of the Bank:

23- Two identification

Marks of Candidate:

24- Subjects Offered: (Note: Tick any one option in the subject section 24.i,
2 ii & iv)
i- M.I.L.: Hindi Urdu Bangla Maithili
ii- S.I.L.: Sanskrit HIN (NLH) Arabic Persian Bhojpuri
iii-Compulsory: Math Science Soc. Science English
For Visually
Impaired: Home Science (In lieu of Mathematics) Music (In lieu of Science)
iv- Optional: a.
Adv. Math Arabic Commerce Dance
Economics Fine Arts Home Sci. Maithili
Music Persian Sanskrit

25- O;olkf;d f”k{kk vUrxZr fuEukafdr fo’k;ksa@VªM

s ks ds iB~u&ikB~u ds O;oLFkk ds fy, izR;sd ftys ds dqN
fo|ky;ksa dks fpfUgr fd;k x;k gS] ftudh lwph lfefr ds iksVZy@osclkbV ij iznf”kZ f” r dh x;h gSA vr%
mu fpfUgr fo|ky;ksa esa bl fo’k;@Vª
k;@VªMs dk v/;;u dj jgs] Nk=@Nk=k ds }kjk gh fuEufyf[kr ls fdlh
,d dk p;u dj ijh{kk esa “kkfey gksuk vfuok;Z gSA
Security Beautician Tourism Automobile Retail Management
Electronics & H/W Beauty & Wellness Telecom IT/ITes

jkT;@ftyk ds vU; fo|ky;ksa ds Nk=@Nk=kvksa ds }kjk bu fo’k;ksa dk p;u ugha fd;k tk,xkA
?kks’k.kk
izekf.kr fd;k tkrk gS fd bl vkosnu i= esa nh xbZ lwpuk,¡ iwjh rjg ls lgh ,oa “kq) gS vkSj
blesa dgha ij Hkh fdlh izdkj ds la”kks/ku dh vko”;drk ugh gSA tks Hkh lq/kkj ,oa la”kks/ku Fks] lc djk
fy, x, gSaA

Signature of Parent/Guardian Student’s Signature in Hindi Student’s Signature in English

izekf.kr fd;k tkrk gS fd mij fn, x, lHkh fooj.kh dk feyku fo|ky; ds lHkh vfHkys[kksa ls
iw.kZ:is.k dj fy;k x;k gSA rnuqlkj mDr ijh{kkFkhZ dk iath;u vkosnu i= Lohdkj fd;k tk,A

Signature & Seal of Principal

Note- All above information are compulsory (Except Sl. No.- 20, 21 & 22) Not Compulsory
 fcgkj fo|ky; ijh{kk lfefr] iVukA
iath;u vkosnu
okf’kZd ek/;fed ijh{kk] 2025
l=& 2024&25

iathdj.k vkosnu i= Hkjs tkus ds laca/k esa vko”;d funsZ”k

¼d½ fooj.kksa@QksVksxzkQ dh “kq)rk ds laca/k esa vR;ko”;d funsZ”k

%&
¼i½ vkosnu i= esa Nk=&Nk=k@ekrk@firk ds uke] fo’k;] fyax] oSokfgd fLFkfr rFkk
tkfr dksfV iwjh “kq)rk ds lkFk Hkjs tk;] rkfd ijh{kksijkUr fuxZr gksus okys vad
i=kfn ds fooj.k esa fdlh Hkh izdkj dh =qfV u jg tk, rFkk lfefr vfHkys[k esa lHkh
fooj.k lgh&lgh la/kkfjr jgsA
¼ii½ vkosnu i= esa Nk=@Nk=k dk lgh jaxhu QksVksxzkQ yxk;k tk, ,oa lgh gLrk{kj
vafdr fd;k tk,] rkfd ijh{kksijkUr fuxZr gksus okys vad i=kfn esa
QksVksxzkQ@gLrk{kj laca/kh =qfV u jg tk, rFkk lfefr vfHkys[k esa lgh
QksVksxzkQ@gLrk{kj jgsA
¼iii½ Nk=@Nk=k] vfHkHkkod rFkk f”k{k.k laLFkku ds iz/kku mi;qZDr dafMdk ¼i½ esa fufnZ’V
fooj.kksa ,oa dafMdk ¼ii½ esa fufnZ’V QksVksxzkQ@gLrk{kj dh “kq)rk vfuok;Z :i ls
lqfuf”pr djsaxs] vU;Fkk Hkfo’; esa =qfV jg tkus ,oa mlds nq’ifj.kkeksa ds fy, os Loa;
ftEesokj gksaxsA

¼[k½ vU; funsZ”k

¼i½ Nk=@Nk=k }kjk vkosnu i= ds fofgr LraHk esa viuk oS/k ¼Valid½ eksckbZy uaŒ ,oa
bZ&esy vkbZŒMhŒ gh vafdr fd;k tk,A
¼ii½ ,d eksckbZy uaŒ dk mi;ksx ,d gh Nk=@Nk=k ds iathdj.k vkosnu i= Hkjus gsrq
fd;k tk ldrk gSA
¼iii½ vkosnu i= ds Øe la[;k 20] 21 ,oa 22 dks NksM+dj lHkh fooj.kh dks Hkjk tkuk
vfuok;Z ¼Mandatory½ gSA