(In Block Letters)

(Enter Valid Mail-Id)


(Attach attested copy of Birth Certificate)

APresent Address

BPermanent Address

10Records Of The Class X (Not For The Admission upto class-X
Name Of the School last attended
Name Of the Board
Year of Passing
Marks in Sc & Maths
% Marks
11Subject Offered in Class-XI (Science)
Group-A (Compulsury)
1. English Core
2. Physics
3. Chemisrty
Group-B (Optional)
4. Mathematics
5. Physical Education
4. Biology
5. Physical Education
4. Mathematics
5. Computer Science
4. Mathematics
5. Biology
6. Whether to take Physical Education as 6th Subject,
Group-C (Internal Assesment)
(i). Work Experience
(ii). General Studies
(iii). Physical & Health Education

(Hereby certify that information above are true to the best of my knowledge.)