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    Science Combination: For Office Use

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    hmohanty368

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    © All Rights Reserved
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    Science Combination: For Office Use

    Uploaded by

    hmohanty368
    12 views1 page

    Original Title

    5_6269218111040260268

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    12 views1 page

    Science Combination: For Office Use

    Uploaded by

    hmohanty368

    Copyright:

    © All Rights Reserved
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    of 1

    KENDRIYA VIDYALAYA NO.

    2, CRPF CAMPUS, BHUBANESWAR


    APPLICATION FORM FOR ADMISSION TO CLASS: XI
    Session: 2023 - 24
    STREAM APPLIED FOR (Science / Commerce)
    Admission No and section in previous class (For KV no.2, CRPF Campus, Bhubaneswar students only)
    1. Name of the Candidate:
    2. Father’s Name:
    3. Mother’s Name:
    4. Date of Birth:
    5. Address for Correspondence:

    6. Blood Group e-mail


    Mobile No.
    Aadhar No.
    7. Permanent Address:

    8. Department / Office in which Parent is employed


    9. Details of Examination passed: (Attach Xerox copy of Mark sheet of Class: X)
    (i) Name of Exam. (ii) Board (iii) Roll No
    (iv) Whether Regular Candidate or Private Candidate (v) Year
    Subject English Hindi/Sanskrit Mathematics Science Social Grand Total Percentage
    Std Basic Science Marks out of (%) out of
    500 500
    Total
    Marks
    Attach certificate for concession, if any write here
    Total Percentage
    10. Name of the institution last attended
    11. Whether SC / ST / OBC / PH Attach relevant certificate
    12. Subject Combination offered (in order of preference write only 1,2,3,4 and 5 in box)
    (i) (ii) (iii) (iv) (v)
    13. Additional Optional Subject (Physical Education)

    Science Combination Commerce Combination


    1. Eng, Phy, Chem., Maths/ Applied Maths & Bio 1.Eng, Hin, Eco, B.St., Acct.
    2. Eng, Phy, Chem.,Maths/ Applied Maths & Comp.Sc 2. Eng, Skt., Eco, B.St., Acct.
    2. Eng, Phy, Chem.,Maths/ Applied Maths & Economics 3. Eng, Maths/ Applied Maths , Eco, B.St., Acct.
    4. .Eng, Phy, Chem., Bio &Hindi 4. Eng, I.P., Eco, B.St., Acct.
    5.Eng, Phy, Chem., Bio & Skt
    DECLARATION
    I do hereby declare that the information given above is true to the best of my knowledge and belief. Any
    suppression of fact may lead to rejection of my application and forfeiture my claim for admission.
    S
    Date: Signature of the Parent Signature of the Candidate
    Note: Duly filled form with signature of parents and students along with class-X result to submit to admission
    department of school following SOP of covid-19.
    FOR OFFICE USE
    Permitted to be admitted in Class: XI – A / B / C / D (Science / Commerce) with the combination____________________
    ADMISSION I/C PRINCIPAL

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