OPTION FORM FOR ADMISSION IN CLASS XI (SESSION: 2024-25) FOR KV STUDENTS
1. Name of the Student: ___________________________________________
2. Admission No.: _________________________ Class X Sec ________ 3. Roll No. in AISSE- 2024: ___________________________________________ Affix Your Latest 4. Father’s Name: ___________________________________________ Passport Size Color 5. Mother’s Name: ___________________________________________ Photograph 6. Date of Birth: ___________________________________________ (Do not staple) 7. Mobile No.: ____________________ (F), ___________________ (M) 8. AADHAAR No.: ___________________________________________ 9. Result in AISSE-2024: S.No. Subject(s) Marks obtained Grade 1 ENGLISH TOTAL MARKS 2 HINDI/SANSKRIT 3 MATHEMATICS % OF MARKS 4 SCIENCE (TOTAL MARKS OBTAINED x 100/500) 5 SOCIAL SCIENCE 10. Options Available for Class XI: S.No. OPTION I OPTION II OPTION III OPTION IV (SCIENCE – PCM) (SCIENCE – PCB) (COMMERCE STREAM) (HUMANITIES STREAM) You can tick only one subject as 5th subject in any stream (First four subjects are compulsory) 1 ENGLISH Co ENGLISH Co ENGLISH Co ENGLISH 2 PHYSICS mp PHYSICS mp ACCOUNTANCY mp HISTORY Compul 3 CHEMISTRY uls CHEMISTRY uls BUSINESS STUDIES ulso GEOGRAPHY sory 4 MATHEMATICS ory BIOLOGY ory ECONOMICS ry ECONOMICS CS -------- IP HINDI 5 HINDI HINDI HINDI -------- -------- -------- MATHEMATICS -------- 6 PHYSICAL EDU. PHYSICAL EDU. PHYSICAL EDU. PHYSICAL EDU. PAINTING PAINTING PAINTING PAINTING
11. Please attach the mark slip of AISSE-2024: 12. Name of K.V if passed AISSE-2024 from other KV: 13. Concession If Any: Please write the appropriate term and attach the self-attested relevant document. i) Whether belongs to SC/ST or Divyang(PH/CwSN) ______________________ ii) Sports & Games: Participation at SGFI (equivalent level) or KVS National /State level or KVS Regional/District level _ iii) NCC: ‘A’ certificate and participation in Republic /PM Rally or ‘A’ certificate and best cadet in Distt/State level or ‘A’ certificate ______________________________________________________________________________________ iv) Scouts & Guides: Rashtrapati Puraskar award certificate or Rajya Puraskar award certificate with 07 proficiency badges or Tritiya Sopan certificate with 05 proficiency badges ____________________________________________ v) Adventure Activity: Participation in at least one 10 days adventure activity DECLARATION I, ________________________________________F/M/of _________________________________________ do hereby certify that the information given are correct to my knowledge. In case of wrong information or suppression of information the admission of my ward may be cancelled. Further neither I nor my ward will request for stream/subject change in future. Date: Sign of Student: Sign of Parent: (For office use only) ADMISSION COMMITTEE 1. Verified Percentage of marks: 2. Concession admissible: 3. Total percentage: 4. Eligibility for stream: Science/Commerce/Humanities___________________ Optional Subject _____________