Application for Registration in Class
Select
XI
For Session :
2021-22
1. Name of Candidate:
2. Date of Birth :
(ddMMYYYY)
Student Photograph (Max 50 Kb)
3. Name of Institution
(in which the candidate is studying/ Last Attended)
4. Father's Name :
Father's Qualification :
Signature of the candidate (Max 50 Kb)
Father's Occupation :
Service/Business/Others
(if in Govt./Pvt Service Specify Design & Name of Dept.)
.
Business
Gov. Job.
House Wife
Other
Private Service
Mother's Name :
Mother's Qualification :
Photograph of parents/guardians (Max 50 kb)
Mother's Occupation :
Service/Business/Others
(if in Govt./Pvt Service Specify Design & Name of Dept.)
.
Business
Gov. Job.
House Wife
Other
Private Service
Gender :
Female
Male
Name of parents/guardians
Address :
City :
State :
.
BIHAR
DELHI
KERALA
RAJASTHAN
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
Category
SELECT
SC
ST
OBC
GEN
Other
Nationality :
Indian
Other
Mobile No.:
Whatsapp No. :
E-Mail ID
Class XI Detail Entry
Acaddemic
Achievement
Year
English (%)
Maths
(%)
Science
(%)
Total Marks Obtain
Pass % or Grade
Class-IX
Class X
(Pre-Board)
Class-X
Select Board
CBSE Board
ICSE Board
UP Board
Other Board
Subject for Science Stream.
(A) Cpmpulsory Subject
(B) Optional Subject
(Tick (
√
)Any Two)
English
Maths
Physics
Biology
Chemistry
Computer
Hindi
Achievement in Extra/Co-Curricular Activities/Sports/Games :-
(1)
(2)
(3)
(4)
Upload All document in PdF File Max 1 MB *
Registration Fee Rs :