FR.
AGNEL SCHOOL, GAUTAM NAGAR, NEW DELHI - 110049
Dear Parents of Class XI,
The following particulars are requested for the CBSE Registration of students of Class XI. Please note that subject once
registered with CBSE will not be changed.
 1. Name of Student           : JATIN KUKREJA
     (In Block Letters )
 2. G.R. No.                  : 8149                  Class & Section      : 11 - A                 Sex      : Male
 3. Date of Admission         : 26/02/2010            Aadhar Card No.      : 729131536434
 4. Mother's Name             : SANJANA KUKREJA
    (In Block Letters )
 5. Father's Name             : MANOJ KUKREJA
    (In Block Letters )
 6. Mother's Mobile No        : 9990824847
 7. Father's Mobile No        : 8851315942
 8. Mother's EmailID          : JATINKUKREJA213@GMAIL.COM
 9. Father's EmailID          : JATINKUKREJA213@GMAIL.COM
 10. Religion                 : HINDUISM
 11. Whether belongs to SC/ST/OBC/GENERAL             :   GENERAL
     (If SC, ST or OBC, please submit Caste Certificate in the name of the Child at the time of submission of form in School)
 12. Disability (If Any)     : NONE
 13. Subjects offered
         S.No.                          Subject Name & Code                                  Medium of Instruction
           1.                             ENGLISH (301)                                            ENGLISH
           2.                         MATHEMATICS (041)                                            ENGLISH
           3.                         ACCOUNTANCY (055)                                            ENGLISH
           4.                       BUSINESS STUDIES (054)                                        ENGLISH
           5.                           ECONOMICS (030)                                            ENGLISH
           6.                                                                                      ENGLISH
      Additional Subject
      ,(if any)
 14. Combined total annual income of parents        : 120000
 15. Class X CBSE Registration No (if appeared from CBSE)            : NA
 16. Details of Class X or Equivalent
     Roll No.                      : 14117418                                 Year Exam Passed      : 2022
     Board Name                    : CBSE                                     Name of Exam          : AISCE
 17. Is the Candidate only child of the parents (Yes / No)           : YES
 18. Does the candidate belong to Minority Community (Yes / No)      : NO
Kindly Submit
   1. A photocopy of Class X Mark Sheet.
   2. One good quality coloured passport size photograph in School Uniform with name and date printed (photo taken
   on or after 5th August 2022) on the Photograph. Please do not staple the photo with the form.
   Signature of Father :                                             Signature of Mother :
   Signature of Student :                                          Signature of Class Teacher :