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of Student of Father of Mother
Bharatiya Vidya Bhavan’s Self Self
Atmakuri Rama Rao School Attested Attested
Road No. 45 (End), Jubilee Hills, Hyderabad – 500 033
APPLICATION FORM FOR ADMISSION INTO CLASS-XI
Admission No: _______________ Regn. No._____________
1. Name of the student
(as per class X Registration
in BLOCK LETTERS)
2. Gender : Male Female
Date Month Year
3. Date of birth (in figures) :
(in words) : ______________________________________________________________
4. Mother’s Name (Capitals) :
(as per class X Board Registration)
5. Father’s Name (Capitals) :
(as per class X Board Registration)
6. Identification marks (if any) : i.___________________________ ii.________________________________
7. Full Residential Address : ______________________________________________________________
______________________________________________________________
______________________________________________________________
8. Permanent Address : ______________________________________________________________
______________________________________________________________
______________________________________________________________
9. Mother Tongue : _________________________
10. Details of Previous study
School Name & Address Class Year of study % / Grade Affiliated to
Academic Session in Last Exam CBSE/ICSE/STATE/OTHER
11. Nationality: _______________12. Caste : SC/ST/BC/OC/GENERAL: ______________ 13. Religion: ___________
14. Parent / Guardian’s details:
Mother (Primary Contact) Father (Secondary Contact) Guardian (In the absence of parent)
Name
Qualification
Occupation
Designation
Office Address &
Contact No.
*Personal Mobile
No.
*Personal E-Mail
Annual Income
* INDICATED FIELDS ARE USED FOR SMS AND E-MAIL COMMUNICATION PURPOSE
Contd...2
:2:
15. Own Brother / Sister studying in this school : Yes / No (If Yes please specify):
Sl.No. Name of the Student Admission No. Class Section
1.
16. Option for school Transport (Tick) : Yes No
17. Medical History : i. Blood Group:_____ ii.Allergies (in any)_________iii. Specific Ailments (if any)__________
18. Subjects Opted : 1. English 2. (Electives): __________________ 3. ________________ 4. __________________
5. (Optional) __________________
SUBJECT COMMERCE SCIENCE
OPTION WITH MATHS WITHOUT MATHS WITH MATHS WITHOUT MATHS
COMPULSORY 1.ENGLISH CORE 1.ENGLISH CORE 1.ENGLISH CORE 1.ENGLISH CORE
*ELECTIVES 2.ACCOUNTANCY 2.ACCOUNTANCY 2. PHYSICS 2. PHYSICS
3.BUSINESS STUDIES 3.BUSINESS STUDIES 3. CHEMISTRY 3. CHEMISTRY
4.ECONOMICS 4.ECONOMICS 4. MATHEMATICS 4. BIOLOGY
OPTIONALS **5.MATHEMATICS **5. PHYSICAL EDUCATION/ **5. PHYSICAL EDUCATION/ **5. PHYSICAL EDUCATION/
(any one) ARTIFICIAL INTELLIGENCE/ ARTIFICIAL INTELLIGENCE/ ARTIFICIAL INTELLIGENCE/
ENTREPRENEUSHIP ENTREPRENEUSHIP ENTREPRENEUSHIP
*Any elective or optional subject will be offered only if a minimum of 5 students. ** Choose any one.
19. Stream selected : Commerce Stream / Science Stream: With Maths Without Maths
20. Extraordinary Achievements in Sports / Others Give Details______________________________
21. Following documents must be enclosed
a. Copy of detailed Report card of Classes- IX & X including pre-board results.
b. Xerox copy of Caste certificate issued by a competent authority (Government)( SC, ST, OBC)
c. Bonafide Certificate from School last attended.
d. Xerox copy of Aadhaar card of student.
e. Original TC and Xerox of Marks to be submitted on RECEIPT FROM CBSE /OTHER BOARDS (after
declaration of results) at the time of admission.
f. Migration Certificate in case of students from SSC/ICSE Board and non locals to be submitted at
the time of admission.
UNDERTAKING BY PARENT / GUARDIAN
I, Father/Mother of _____________________________ have applied for admission of my ward to
class ___________ . I have read the rules and regulations of the school published in the
prospectus and understood that:
i) Registration form does not in any way guarantee admission.
ii) Admission will be determined through a procedure laid down by the School Management.
iii) The decision of the School will be final and no queries will be entertained in this regard.
iv) I hereby undertake to abide by all the rules and regulations laid and subject to change from
time to time in respect of the admission fees, transport, withdrawal, discipline, examination
results and also ensure that my ward abides by them if granted admission.
v) I agree that in case my ward is found to be involved in any unwarranted activities, the
decision taken by the school will be final and binding.
Date: Signature of Mother Signature of Father
(NAME IN BLOCK LETTERS) (NAME IN BLOCK LETTERS)
FOR OFFICE USE
Rs._____________ Receipt No. _____________ Dated.______________ Regn. No. _________
Initials of Accounts Department Counter Signature of the
Principal
