This document is a registration form for a student named Bikash Rajak to take the West Bengal Higher Secondary Examination in 2023. It includes personal details like name, address, academic qualifications from Class 10, subjects selected for Higher Secondary, and required documents uploaded.
This document is a registration form for a student named Bikash Rajak to take the West Bengal Higher Secondary Examination in 2023. It includes personal details like name, address, academic qualifications from Class 10, subjects selected for Higher Secondary, and required documents uploaded.
This document is a registration form for a student named Bikash Rajak to take the West Bengal Higher Secondary Examination in 2023. It includes personal details like name, address, academic qualifications from Class 10, subjects selected for Higher Secondary, and required documents uploaded.
This document is a registration form for a student named Bikash Rajak to take the West Bengal Higher Secondary Examination in 2023. It includes personal details like name, address, academic qualifications from Class 10, subjects selected for Higher Secondary, and required documents uploaded.
Institution Code 204581 Institution Name ASANSOL CHOWALAL MADHYAMIK VIDYALAYA (H.S)
PERSONAL DETAILS Title: Mr.
First Name: BIKASH Middle Name: Last Name: RAJAK
Mobile No.: 7679559541 E-mail: Aadhaar No. 904165038201
Gender Male Caste Category SC
Religion Hinduism Date of Birth 14-04-2006
PwD No
Present Address:- Permanent Address:-
Address Line 1 DURGA MANDIR Address Line 1 DURGA MANDIR
Address Line 2 USHAGRAM Address Line 2 USHAGRAM
Address Line 3 ASANSOL Address Line 3 ASANSOL
Country India State/UT West Bengal Country India State/UT West Bengal
District PASCHIM BARDHAMAN Pin Code 713303 District PASCHIM BARDHAMAN Pin Code 713303
Father's Name RAJESH RAJAK Mother's Name SUNITA RAJAK
Guardian's Name RAJESH RAJAK Relationship Son
Blood Group B+
Citizenship Indian Alternate Email ID Alternate Mobile
No.
DETAILS OF ACADEMIC QUALIFICATIONS
[In case the Marks obtained in the Examination are in Grade Points, please convert them to Percentage by following the relevant guideline of the Information Brochure.] Medium of writing Answers in H.S. Examination (For elective Hindi subjects)
PARTICULARS OF THE LAST QUALIFYING EXAMINATION
Migrating? No
NON MIGRATING STUDENT
Board W.B.B.S.E.
Language 1 Hindi
Language 2 English
MARKS OBTAINED IN CLASS X
Math Ph. Sc. L. Sc. Geography
36 27 35 27
Roll No 304801N-0246 Year of Passing 2022 Admission Date 09-06-2022
SUBJECTS OFFERED
First Language Second Language
Hindi English
ELECTIVE SUBJECTS Selected Set Set 3
Compulsory Elective 1 History
Compulsory Elective Political Science
2
Compulsory Elective Education
3
Optional Elective Environment Studies
Subject Lab Based: No
Document Upload [ Upload properly legible scanned (150 dpi color) copies of the following documents in pdf or jpeg format with min. size 10 KB and max size 200 KB. Applications will be summarily rejected if illegible or improper supporting documents are uploaded]
Name of Document(s) View Uploaded Document(s)
1 Scanned copy of Aadhaar Card Click here to view
2 Caste documents Click here to view
Signature of Applicant
DECLARATION OF HEAD OF THE INSTITUTION
Certified that the particulars given above are correct Signature of Head Of The Institution
