JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form For Class XI (2019-20)
Students other than KV IIIT Jhalwa Allahabad (passed class X in 2019 board examination)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Serial No of Offline Registration form (Issued from the Kendriya Vidyalaya IIIT Jhalwa)
*
Your answer
Mobile Number
*
Your answer
Roll Number of Class X (2018-19)
*
Your answer
Name of Student
*
Your answer
GENDER
*
Female
Male
Others
SOCIAL CATEGORY
*
Choose
GENERAL
SCHEDULED CASTE
SCHEDULED TRIBE
OBC
DIFFERENTLY ABLED
SINGLE GIRL CHILD YES/NO
*
Choose
YES
No
Date of Birth
*
MM
/
DD
/
YYYY
NAME OF BOARD IN CLASS X
*
Your answer
MAXIMUM MARKS
*
Your answer
MARKS OBTAINED
*
Your answer
Marks Obtained in Mathematics out of 100
*
Your answer
Marks Obtained in Science out of 100
*
Your answer
SUBJECT OPTIONS (Click any one)
*
Choose
ENGLISH, PHYSICS, CHEMISTRY, MATHS, COMP. SCIENCE
ENGLISH, PHYSICS, CHEMISTRY, MATHS, HINDI
ENGLISH, PHYSICS, CHEMISTRY, BIOLOGY, COMP. SCIENCE
ENGLISH, PHYSICS, CHEMISTRY, BIOLOGY, HINDI
MOTHER'S NAME
*
Your answer
FATHER'S NAME
*
Your answer
OCCUPATION OF MOTHER
*
Your answer
OCCUPATION OF FATHER
*
Your answer
PARENTS' SERVICE CATEGORY APPLICABLE
*
Choose
TRANSFERABLE /NON TRANSFERABLE CENTRAL GOVT EMPLOYEES (MOTHER OR FATHER)
TRANSFERABLE /NON TRANSFERABLE CENTRAL GOVT AUTONOMOUS BODY & PSU EMPLOYEES (MOTHER OR FATHER)
TRANSFERABLE /NON TRANSFERABLE STATE GOVT EMPLOYEES (MOTHER OR FATHER)
TRANSFERABLE /NON TRANSFERABLE STATE GOVT AUTONOMOUS BODY & PSU EMPLOYEES (MOTHER OR FATHER)
OTHERS
NUMBER OF TRANSFERS IN LAST SEVEN YEARS (MOTHER OR FATHER) UP TO 31/03/2019
*
Your answer
RESIDENTIAL ADDRESS
*
Your answer
A copy of your responses will be emailed to the address you provided.
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
