JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
S.R.D.A.V PUBLIC SCHOOL,PURNEA.
CLASS XI(2021-22) Registration Form
Contact No.: 7461802804
* Indicates required question
Email
*
Your email
Select Stream (PCM-A, PCB-B, Commerce-C)
*
A
B
C
Name of Students (Do not write Mr./Miss/Shri/MRS.) (Capital letters)
*
Your answer
Mother's Name(Do not write Mr./Miss/Shri/MRS.) (Capital letters)
*
Your answer
Father's Name(Do not write Mr./Miss/Shri/MRS.) (Capital letters)
*
Your answer
Gender
*
Male
Female
Date of Birth as per School record (DDMMYYYY) eg. 12072006 (Dont write any character like / , - , . )
*
Your answer
Class X Appearing/ Passing Board (Previous Board)
*
CBSE
ICSE
BSEB (Bihar Board)
Previous School Name
*
Your answer
Percentage of Marks (Pre-Board Exam) (Eligibility(CBSE/ICSE Board): 1. For PCM/PCB Percentage must be greater than or equal to 70%) 2. For Commerce Percentage must be greater than or equal to 60%) (Eligibility(BSEB Board): 1. For PCM/PCB Percentage must be greater than or equal to 80%) 2. For Commerce Percentage must be greater than or equal to 70%)
*
Your answer
Mobile No.
*
Your answer
AADHAR (Compulsory)
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
