Rashtriya Navodaya Vidya Kendra

Student Information

Admission seeking for the class ^*

Combinations

Combinations ^*

Name of the student ^* (as per 10th TC and Marks card)

Date of Birth ^* (No alteration will be allowed )

Gender ^*
Female Male

Blood Group

Student Photo^*

Nationality^*

Religion^*

Caste^*

Sub-Caste

Correspondence Address^*

Permanent Address^*

Student Aadhaar Card Number ^*

Parents Information

Name of Father^*

Father's Contact Number ^*

Name of Mother^*

Mother's Contact Number ^*

Parental Annual Income ^*

Income Certificate (RD Number)

Name of Guardian and Address

Details of the school studied

Name of the school ^*

Address ^*

Particulars of SSLC / Equivalent examination passed

Reg No.^*

Year^*

Month^*

Medium^*

Subjects Studied		Marks Obtained
1st Language^*
2nd Language^*
3rd Language^*
Subject 4^*
Subject 5^*
Subject 6
Total Marks Obtained

Percentage obtained ^*

Participation in Sports / Extra curricualr activities

Languages and Combination offered to study in the PU course	Part 1 Subjects	Part II Subjects

Student's and Parent's/Gaurdian's undertaking

I hereby accept that I will abide by the Administrative/Academic/Examination Rules of the Department during my study in the College ^*

I hereby accept that during my stay in the College, I will mentain discipline and pay the damages caused by me.^*.

I hereby accept that, I will know the Academic/ Attendance progress of he Student from time to time from the College and also pay the damages is any caused by students^*

I hereby agree that I'll abide by the rules and regulations regarding college uniform and I agree to actively participate in all the activities of the college^*

PUC Admission Form 2024-25

Student Information

Parents Information

Details of the school studied

Particulars of SSLC / Equivalent examination passed

Student's and Parent's/Gaurdian's undertaking

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