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Iconic Oav Application Form

This document is a common application form for admission to Class XI in Odisha Adarsha Vidyalayas. It requests information such as the student and parents' personal details, address, contact information, academic details from Class X including subjects studied and marks/grades obtained, and subject preferences for Class XI. The form also provides information on the subject combinations and courses available at the Adarsha Vidyalayas.

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5K views2 pages

Iconic Oav Application Form

This document is a common application form for admission to Class XI in Odisha Adarsha Vidyalayas. It requests information such as the student and parents' personal details, address, contact information, academic details from Class X including subjects studied and marks/grades obtained, and subject preferences for Class XI. The form also provides information on the subject combinations and courses available at the Adarsha Vidyalayas.

Uploaded by

toppouday74
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ADARSHA

ODISHA ADARSHA VIDYALAYA SANGATHAN


cOMMON APPLICATION FORM FOR ADMISSION INTO CLASS XI
SAA

VIDTALA
ACADEMIC SESSION 2022-23
INSPIRK AND KMPOWEt

INDEX NO: (For Official use only)

Applied For:

OAV Block. District:


Stream: (science/ Commerce)
Affix Recent
1. Name of the Student:
Passport size
Colour Photo
2. Name of the Mother:

3. Name of the Father:

4. Date of Birth: Day Month Year

5. Date of Birth in word

6. Age (as on
01.04.2022)

7. Gender: Mother Tongue: Nationality:

8. Religion:, Caste (SC/ST/GEN/OBC)


(Attach Self Attested Photocopy of Caste Certificate, if any)

9. Person with Disability: Yes/ No


Category: (HI/VI/OH)
(Attach e l f Attested Photocopy of Disability Certificate, if any)
10. Aadhaar No:

Student: _(Attach Self Attested Photocopy of Aadhaar Card)

Father (Attach Self Attested Photocopy of Aadhaar Card )

Mother:. (Attach Self Attested Photocopy of Aadhaar Card)

11. Permanent Address:


AT PO BLOCK

PS DIST PIN
12. Present Address for correspondence:
AT PO BLOCK

PS DIST PIN
13. Contact Phone No of Parents: (i)_ _(ii)-
14. WhatsApp Mobile No. of Parents.

15. Email Id:


16. Subject combination available in the Vidyalaya

Science :

( ) Mathematics (041) (11) Physics (042) (iii) Chemistry (043)

(iv) Biology (044) (v) English Core (301)

Commerce :

() Economics (030) (ii) Business Studies (O54) (iii) Accountancy (055)


(iv) English Core (301) (v) Physical Education(048) / Painting(049)

17. Subject opted: i._ ii. iii.


iv_ .

ACADEMIC DETAILS
18. Name & Address of the School last studied

19. Whether the School is Govt./ Private:

20. Mark Secured in Class-X Board Examination (CBSE/ ICSE/ BSE)

a. Total Maximum Mark b. Total Mark Secured


C. Percentage of mark Secured
18. Mark & grade obtained in:

a. Mathematics: b. Science

19. Roll no. of Class-X Board Exam (CBSE/ ICSE/ BSE).

20. Name of the Board (CBSE/ ICSE/ BSE)

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