FIRST NAME MIDDLE NAME LAST NAME MOBILE NO OF STUDENT AADHAR NO OF STUDENT GENDER MALE FEMALE TRANSGENDER RELIGION DONT WISH TO SPECIFY HINDU ISLAM CHRISTIAN BOUDHHA JAINA OTHERS CATEGORY GEN SC ST OBC OBC A OBC B DATE OF BIRTH PHYSICAL DISABILITY NO YES IF YES BLIND DEAF DUMB OTHER PERMANENT ADDRESS vill/twon POST OFFICE PANCHYAET/ MUNICIPLITY BLOCK /WARD POLICE STTION DISTRICT STATE PIN CODE PRESENT ADDRESS Same as Permanent Address YES vill/twon POST OFFICE PANCHYAET/ MUNICIPLITY BLOCK /WARD POLICE STTION DISTRICT STATE PIN CODE FATHERS NAME FIRST NAME MIDDLE NAME LAST NAME MOTHERS NAME FIRST NAME MIDDLE NAME LAST NAME GAURDIAN NAME FIRST NAME MIDDLE NAME LAST NAME YEAR OF PASSING SECONDARY EXAM 2022 2023 2024 ROLL NO OF SECONDARY EXAM ROLL NO MARKS OBTAINED IN SECONDARY EXAM BENG ENG HIST MATH PH.SC L.SC GEO ADDL TOTAL % ELECTIVE SUBJECTS OF CLASS XI ELECTIVE 1 HIST POL SANSK ARABIC GEO ELECTIVE 2 HIST POL SANSK ARABIC GEO ELECTIVE 3 HIST POL SANSK ARABIC GEO OPTIONAL HIST POL SANSK ARABIC GEO BANK DETAILS BANK NAME BRANCH NAME IFSC CODE AC NO I do hereby declare that if I involve antisocial activities , school authority will take any step against me. SUBMIT
