Application Form for Admission on Class XI, 2018-2019 Session (Boys Only)

Read Instructions carefully before applying Online:
CLICK HERE TO READ THE INSTRUCTION.

* NAME OF THE APPLICANT:
* FATHER'S NAME :
* NAME OF GUARDIAN:
* RELATIONSHIP TO APPLICANT:
* PERMANENT ADDRESS:
* MOBILE NUMBER : [10 digits]
EMAIL (Optional):
* OCCUPATION OF FATHER (OR GUARDIAN) :
*ANNUAL INCOME OF FATHER (OR GUARDIAN) :
* DATE OF BIRTH : - -
* MOTHER TONGUE: Bengali           Hindi         Other
* CATEGORY :
* NATIONALITY: Indian             Other
* INSTITUTION IN WHICH APPLICANT STUDIED LAST :
Marks and Other Details of Board Examination :
* NAME OF THE BOARD : West Bengal Board of Secondary Education (WBBSE)
Other Board
* BOARD EXAM'S ROLL AND NO (11 digits Madhymik Roll and No for WBBSE)
* YEAR OF PASSING/APPEARING IN THE BOARD EXAM :
* MARKS IN FIRST LANGUAGE :
* MARKS IN SECOND LANGUAGE :
* MARKS IN MATHEMATICS :
* MARKS IN PHYSICAL SCIENCE :
* MARKS IN LIFE SCIENCE :
* MARKS IN HISTORY :
* MARKS IN GEOGRAPHY :
Stream and Elective Subjects Applied For :
READ INSTRUCTION CAREFULLY BEFORE CHOOSING STREAM AND SUBJECT
* APPLIED FOR THE STREAM Scienc/Commerce/Arts:[Be carefull ]
* ELECTIVE SUBJECT ONE :
* ELECTIVE SUBJECT TWO :
* ELECTIVE SUBJECT THREE :
ELECTIVE SUBJECT FOUR (ADDITIONAL) :
* MEDIUM OF INSTRUCTION :
For Arts and Commerce Medium is Bengali Only.
For Science Medium is Bengali or English.
Bengali                English

   * Declaration :
I hereby declare that the above particulars are true to the best of my knowledge and belief, failing which my candidature may be rejected at any stage of the process and I will be solely responsible for it.


Re Examine the form before submitting.

IP 54.198.27.243