Scribd
Upload
237 views2 pages

Lacaf/Kr DKSM Uecj GH (Kkus Esa HKFJ S: Y Y M M D D Y Y

1) The document appears to be an application form for admission to 9th class in Madhya Pradesh Board of Secondary Education for the academic years 2018-2019 or 2019-2020. 2) It requests information such as the applicant's name, father's name, mother's name, date of birth, address, medium of instruction, subjects to be studied, caste or tribe, and details of qualifying examinations if applicable. 3) The applicant is required to declare that the information provided is true, and that providing false information could lead to cancellation of admission or examination results.

Uploaded by

Shivam Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
237 views2 pages

Lacaf/Kr DKSM Uecj GH (Kkus Esa HKFJ S: Y Y M M D D Y Y

1) The document appears to be an application form for admission to 9th class in Madhya Pradesh Board of Secondary Education for the academic years 2018-2019 or 2019-2020. 2) It requests information such as the applicant's name, father's name, mother's name, date of birth, address, medium of instruction, subjects to be studied, caste or tribe, and details of qualifying examinations if applicable. 3) The applicant is required to declare that the information provided is true, and that providing false information could lead to cancellation of admission or examination results.

Uploaded by

Shivam Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

ek/;fed f'k{kk e.

My] e/;çns ' k] Hkks i ky


ukekadu vkosnu i= d{kk 9oha 2019-20 201
20177
2018-19
1 vkos n d lacaf/kr dksM uEcj gh [kkus esa Hkfj;s
dk iz d kj
1
fu;fer&1

;fn Nk= us=ghu] ewd&cf/kj gS rks mldk izdkj & us = ghu ewd&cf/kj संबल
e/;izns'k ds ewyfuoklh gk¡ @ ugh

D;k vgZdkjh ijh{kk vU; cksMZ@vU; jkT; ls mRrh.kZ dh gS] ;fn gk¡ rks cksMZ ,oa o"kZ dh tkudkjh
vafdr djsaA
o"kZ ifj.kke Js . kh

jks y uEcj cks M Z dk uke

..................................................................................................................................................................................................................................................................................................
2 vkosnd dk iwjk uke FULL NAME OF CANDIDATE

3 firk dk iwjk uke FULL NAME OF FATHER

4 ekrk dk iwjk uke FULL NAME OF MOTHER

5 tUe frfFk tUe frfFk


D D M M Y Y
a½ dksM ckWDl esa HkjsaA Y Y
¼vadlaksa cesaf/kr ¼’kCnksas esa½
6 ftyk dks M fodkl [k.M dks M ‘ ’kkyk@vxz " ks . k la L Fkk dks M
ek/;e
fgUnh -1
ftys dk uke fodkl [k.M dk uke vaxzsth -2
mnwZ -3

7 Hkk "k"kkk fo"k; %&


Hkk"k
dsoy us=ghu] ewd&cf/kj Nk= gsrq
çFke Hkk"kk ¼fof'k"V½ &&&&&&&&&&&
¼dsoy us=ghu] ewd&cf/kj Nk= xf.kr fo"k; dksM 100
f}rh; Hkk"kk ¼lkekU;½ &&&&&&&&&&& vFkok foKku fo"k; dksM 200 ds LFkku ij laxhr fo"k;
dksM 161 vFkok isafVx fo"k; dksM 162 ys ldrs gSA
r`rh; Hkk"kk ¼lkekU;½ &&&&&&&&&&& vU; lHkh Nk=ksa dks xf.kr] foKku ,oa lkekftd foKku
fo"k; vfuok;Z gSA½

8 i= O;ogkj dk irk%&

House No. : ijh{kkFkhZ dk


uohure uke]
Colony : fnukad
a ;qDr
fMftVy QksVks
Town :

Block :

District :

Phone No. : Pin:


dkye ds vanj Nk= ds gLrk{kj
9 Nk= dk vU; fooj.k %&

fya x tkfr
ckyd -1 vuqlwfpr tkfr -1 fiNM+k oxZ-3
ckfydk -2 vuqlwfpr tutkfr-2 lkekU; -4

10 layXu nLrkost ¼dsoy vgZdkjh ijh{kk vU; cksMZ ls mRrh.kZ Nk=ksa ds fy,]½
¼v½ izfrgLrk{kfjr LFkkukUrj.k izek.k i=A
¼c½ vgZdkjh ijh{kk dh vadlwphA
¼l½ izotZu izek.k&i=A

ijh{kkFkhZ dh ?kks " k.kk


esjs }kjk nh xbZ mijksDr tkudkjh lR; gS ;fn blesa fdlh izdkj dh vlR; tkudkjh ikbZ xbZ rks esjk ijh{kk vkosnu ,oa
ijh{kk ifj.kke dHkh Hkh fujLr fd;k tk ldrk gSA

ijh{kkFkhZ ds gLrk{kj

izkpk;Z@vxzs"k.k laLFkk izkpk;Z dk izek.khdj.k


esSa lacaf/kr nLrkostksa dh tk¡p mijkar izekf.kr djrk gw¡ fd Nk= ijh{kk esa izfo"V gksus gsrq fu/kkZfjr ekin.M iw.kZ
djrk gSA

fnukad

laLFkk Øekad laLFkk dk uke gLrk{kj ineq n z k lfgr

You might also like