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    Registration Form Class XI (2021-22)

    Uploaded by

    Yansnen Zanskit
    This document is a registration form for admission to Class XI at Kendriya Vidyalaya Leh-Ladakh for the 2021-2022 academic year. It requests information about the student such as name, date of birth, parents' details, category, and academic performance. The form must be submitted along with required documents by August 20, 2021. These include attested copies of the class X marks sheet, address proof, service certificate of parents if applicable, parents' transfer details for last 7 years if applicable, caste certificate if claiming reservation, other certificates for activities, Aadhar card copy, blood group report, and a passport photo.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Registration Form Class XI (2021-22)

    Uploaded by

    Yansnen Zanskit
    152 views2 pages
    This document is a registration form for admission to Class XI at Kendriya Vidyalaya Leh-Ladakh for the 2021-2022 academic year. It requests information about the student such as name, date of birth, parents' details, category, and academic performance. The form must be submitted along with required documents by August 20, 2021. These include attested copies of the class X marks sheet, address proof, service certificate of parents if applicable, parents' transfer details for last 7 years if applicable, caste certificate if claiming reservation, other certificates for activities, Aadhar card copy, blood group report, and a passport photo.

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    This document is a registration form for admission to Class XI at Kendriya Vidyalaya Leh-Ladakh for the 2021-2022 academic year. It requests information about the student such as name, date of birth, parents' details, category, and academic performance. The form must be submitted along with required documents by August 20, 2021. These include attested copies of the class X marks sheet, address proof, service certificate of parents if applicable, parents' transfer details for last 7 years if applicable, caste certificate if claiming reservation, other certificates for activities, Aadhar card copy, blood group report, and a passport photo.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    152 views2 pages

    Registration Form Class XI (2021-22)

    Uploaded by

    Yansnen Zanskit
    This document is a registration form for admission to Class XI at Kendriya Vidyalaya Leh-Ladakh for the 2021-2022 academic year. It requests information about the student such as name, date of birth, parents' details, category, and academic performance. The form must be submitted along with required documents by August 20, 2021. These include attested copies of the class X marks sheet, address proof, service certificate of parents if applicable, parents' transfer details for last 7 years if applicable, caste certificate if claiming reservation, other certificates for activities, Aadhar card copy, blood group report, and a passport photo.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    केन्द्रीय विद्यालय लेह- लद्दाख 194101 For office use only

    Category………...
    No of Posting…....
    KENDRIYA VIDYALAYA, LEH-LADAKH 194101 Merit No………...
    Remarks…………
    Form No……… Application for Registration to Class XI (2021-22) Regd. No…..

    Name of the Candidate/Student …………………………………………………….. Date of Birth……………………………


    Mother’s Name and Address ……………………………………………………………………………………Mobile………………….. Attested
    Father’s Name and Address………………………………………………………………………………………Mobile…………………… Photograph
    Basic Pay/Monthly Income …………………………………………………………………………………..
    Nationality ………………………………………………………………………………………………………….
    Adhar No of Student …………………………………………………………………………………………..…… Mobile…………………..
    Category of the parent: (*Tick the Correct one)
    1. Transferable & Non-Transferable Central Govt. Employee including Defence & Ex-Serviceman
    2. Transferable & Non-Transferable employees of Autonomous bodies of Central Govt.
    3. Transferable & Non Transferable State Govt. employee .
    4. Transferable & Non-Transferable employees of Autonomous bodies of State Govt.
    5. Other Categories

    Student’s Status (Tick the correct Box)


    A B C D
    Students of this K.V Student of any other K.V. Students of School Student of a School following other than the
    following the CBSE CBSE Syllabus with name of the board
    syllabus

    Do you belong of SC/ST Category? (If yes attach Certificate) Yes No


    For Office use Only
    Have you participated in?
    Percentage
    KVS National Sports/ SGFI /State Level/Dist. Level Yes No Aggregate @............
    NCC/Scouts Yes No Percentage Science@........
    Percentage Maths@..........
    Adventure Activities Yes No Percentage Sc &
    Marks Statement in the Qualifying Examination (Attach Attested Copy of Math’s@..........
    Add concessional Marks…………,
    Certificate in Duplicate) If eligible for RELAXATION
    Name of the Exam with passing Year………………………………...
    Eligible for……………………….STREAM
    Name of the Board……………………………………………………..
    Name of the School…………………………………………………….. Status…………………

    Marks Max %
    Subject Grade
    Obtained Marks
    1. English

    2. Hindi
    Attach copy of marks statement attested by
    3. Mathematics the concerned Principal
    4. Science

    5. Social science
    Overall % of main 5
    Subjects

    PREFERECE OF THE STREAMS & SUBJECTS THAT YOU WANT TO OPT AS YOUR FIRST PREFERENCE

    Science (Maths) Science (Bio) Commerce Humanities ELECTIVE


    Computer Science / Informatics Practices / Hindi

    …………………………………………. …………………………………………………….
    Signature of the Parent with date Signature of Student with date
    सेिा प्रमाण-पत्र / SERVICE CERTIFICATE

    प्रमाणणत ककया जाता है कक श्री/श्रीमती...................................................... पद................................................


    कायाालय/मंत्रालय में नियनमत कमाचारी के रूप में कायारत है I िे रक्षा सेिा/केन्द्रीय ररजिा पुनलस बल/एस. एस. बी./असम
    राइफल्स/आई. टी. बी. पी./सीमा सुरक्षा बल/एि.एस.जी./एस.पी.जी./सी. आई. एस. एफ./केन्द्रीय सरकार स्िायत्त निकाय/
    सािाजनिक क्षेत्र के उपक्रम, जो पूणा या आंनिक रूप से केंर सरकार से वित्त-पोवित है तथा उिकी सेिा पूणा भारत में कहीं भी
    स्थािांतरणीय /अस्थािांतरणीय है I

    Certified that Shri/Km……………………………………………………Designation………………................is working as regular


    employee in the Office/Ministry of …………………………………………………………………… He/She is a regular employee of
    Defence Service/ITBP/CRPF/BSF/SPG/CISF/Central Government/ Autonomous Body/Public Sector Undertaking fully
    financed/partially financed by the Central Government and his /her services are transferable/non-transferable
    anywhere in India/State.

    यह भी प्रमाणणत ककया जाता है कक 31.03.2021 तक वपछले सात ििों के दौराि उिका स्थािान्द्तरण निम्िुसार हुआ है ।
    इकाई/कायाालय और पोणस्टं ग की अिनि णजसमें राज्य पररिताि िानमल है , िीचे दी गई है :
    It is further certified that He/She has the following transfers during last seven years up to 31.03.2021. The
    unit/Office and the duration of such postings involving change of state are given below:
    St. No. Description Place Period of Stay
    (Designation)
    From To
    Date Months Year Date Months Year

    स्टे िि/Station…………………...... कदिांक/Date…………………..


    1. कायाालय प्रमुख के हस्ताक्षर/Signature of the head of Office
    2. िाम(बडे अक्षरों में)/Name (in block Letters)……………………..........
    3. पदिाम/Designation ……………………………………..
    4. दरू भाि िं/Telephone No………………………………….
    5. कायाालय स्टाम्प/Office Stamp…………………………
    (A) संलग्िकों की सूची (सत्यावपत प्रनतयां)/List of Enclosures (Attested copies)
    1-…………………………………………………..
    2-…………………………………………………..
    3-……………………………………………………..
    4………………………………………………………..
    5-………………………………………………………

    (B) संलग्िकों की कुल संख्या/Total numbers of enclosures………………………

    Note: -
    1. Incomplete registration from will be rejected.
    2. Last date of submission of complete registration form with required documents is 20/08/2021

    Documents Required:
    1. Registration form
    2. Marks sheet of class X (Attested photo copy).
    3. Address proof (Quarter allotment letter, Ration card, Electricity bill etc.).
    4. Service Certificate of parents if any.
    5. Previous 7 years Transfer details of parents if any.
    6. Caste certificate. (ST/SC/OBC)
    7. Other certificate if any (NCC/Scout/Sports etc)
    8. Aadhar Card Copy.
    9. Blood group report
    10. One passport size photo.

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