AEDUCATION DEPARTMENT

AChandigarh Administration
ASession 2024-25
ARegistration Form
The student is required to take a print out of the form and submit in the respective school where he/she has been
alloted a seat on the opening of schools

FORM NO.: 63602

1. Name in Block Letters : SNIGDHA THAKUR
2. Date of Birth [DD-MM-YYYY]: 22-8-2008
3. Father's Name in Block Letters : SURYAKANT THAKUR
4. Mother's Name in Block Letters : SUSHMA THAKUR
5. Address :
6. Aadhaar Number : 228420190936
7. PEN Number Not Given
8. Mobile No. : 7999654883
9. Gender : FEMALE
10. Religion : Hindu
11. Category : GENERAL
12. Details of School from which class X is Passed

A. School Private School outside Chd

B. Name Of School Delhi Public School
C. Board CBSE
D. Board Roll No 12121040
E. Result PASS
F. Year of Passing 2024
G. Details of Marks :
Subjects Offered Marks Max. Marks %age of Marks
Obtained

ENGLISH 92 100 92.00

STD MATHS 73 100 73.00
SCIENCE 76 100 76.00
SOCIAL SC. 82 100 82.00
HIN/PBI/SKT. 93 100 93.00

13. PREFERENCE OF SCHOOL AND STREAM

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 * For candidates having percentage above 90%, it is mandatory to fill at least 10 choices of school and stream.
For candidates having percentage above 80% and less than 90%, it is mandatory to fill at least 15 choices of
school and stream. For candidates having percentage above 60% and less than 80%, it is mandatory to fill at
least 20 choices of school and stream. Further the candidates with 59% and below have to compulsorily fill 25
options, failing which the form shall not be accepted. The candidates must fill in the options in Order of
Preference.

* Before filling up of choice of school and stream, candidate may refer the cut off for the year - 2022 which is
available on the website www.chdeducation.gov.in for guidance.
* Choice of school and stream cannot be changed before the completion of 1st round of counselling. For
Streams and Subject combinations available in different schools, please refer to Pages 41-47of the prospectus

Preference Order School Code Stream Code

1. 103 - GMSSS - 16 Humanities

2. 113 - GMSSS - 35 Humanities

3. 112 - GMSSS - 33 Humanities

4. 105 - GMSSS - 19 Humanities

5. 107 - GMSSS - 21 Humanities

6. 104 - GGMSSS - 18 Humanities

7. 111 - GMSSS - 32 Humanities

8. 114 - GMSSS - 37-B Humanities

9. 101 - GMSSS - 8 Humanities

10. 115 - GMSSS - 40 Humanities

11. 116 - GMSSS - 44 Humanities

12. 117 - GMSSS - 46 Humanities

13. 123 - GMSSS - 15 Humanities

14. 118 - GMSSS - 47 Humanities

15. 106 - GMSSS - 20 Humanities

14. List of scanned Testimonials / Certificates / Documents attached (self attested copies only) Please Tick

a) Matriculation Certificate ( issued by board other than CBSE ) Y

b) Reserved Category Certificate N
c) Admission Fee amount Deposited 878

Certified that Information given above is correct

1. In Case the information provided by me is found incorrect / false, my admission may stand cancelled.
2. Adhaar Declaration: I declare that my Aadhaar Details can be used by UT Education Department.

Signature of Parent / Guardian Signature of the Applicant

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 83.20

ACKNOWLEDGMENT

Form No. 63602

Received application form from Snigdha Thakur

for admission to class XI
S/o, D/o Suryakant Thakur

Dated Signature of the

receiving Official

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