SET I (SCIENCE)
STUDENT INFORMATION & DATA COLLECTION SHEET for H.S. REGISTRATION (202 - 202 )
UNDER W.B.C.H.S.E.
* Fields are Mandatory Put all the data with BLACK DOT PEN ONLY.
NAME of THE STUDENT (WRITE IN CAPITAL LETTER AS PER ADMIT CARD OF LAST BOARD EXAMINATION)*
FIRST NAME MIDDLE NAME LAST NAME
Section: A *School R.N.: * Date of Admission: *Admission Sl No.:
*Student Id as per BSP: * PEN:
*Last School Name:
*Paste Recent Passport
Sized (2.5cm X 3.5cm)
Coloured Photo Here.
Don’t Staple. Photo *Full Signature of the Student with BLACK DOT PEN ONLY. AS PER ADMIT CARD OF LAST BOARD EXAMINATION.
Must Be With Don’t sing. In CAPITAL LETTER
Don’t touch any line.
Ch.B.V.’s School
Uniform. (Class XI) & AADHAAR No*:
Blue or White
background.
Date of Birth (mm/dd/yyyy)* (WRITE IN CAPITAL LETTER AS PER ADMIT CARD OF LAST
BOARD EXAMINATION):
Caste Category*(GEN/OBC-A/OBC-B/SC/ST):
Religion*: Hinduism/Islam/Christianity/Sikhism/Buddhiam/Jainism/Others/Don’t wish to Specify:
Mobile No*: Alternate Mobile No.:
E-Mail id:
FATHERS’ NAME* (WRITE IN CAPITAL LETTER AS PER ADMIT CARD OF LAST BOARD EXAMINATION):
MOTHER’S NAME*:
GUARDIAN NAME*:
RELATIONSHIP BETWEEN GUARDIAN: SON/DAUGHTER/OTHER/ (IF OTHER SPECIFY)*:
Caste Category*(GEN/OBC-A/OBC-B/SC/ST):
Religion*: Hinduism/Islam/Christianity/Sikhism/Buddhiam/Jainism/Others/Don’t wish to Specify:
Blood Group* (O+,O-,A+,A-,B+,B-,AB+,AB-,Not Known):
PwD*: NO/YES:
(If YES) PLEASE WRITE TYPE :( Visual Impaired /Hearing Impaired / Locomotor Disability/Others):
Disability %*: Issuing State*:
Medium of Writing Answers in H.S. Examination (For elective subjects)*BENGALI / ENGLISH:
Migrating*:(NO / YES):
Name Of Last Board Examination*:W.B.B.S.E. / C.B.S.E / I.C.S.E.:
Year of Passing Last Board Examination*: 202
Roll No. Of Last Board Examination*: ROLL NUMBER
SET I (SCIENCE)
Language Taken Last Board Examination*:1ST Language: 2ND Language: 3RD Language:
RD
3 Language Only for migrated students i.e. C.B.S.E / I.C.S.E.
Marks Obtained In Last Board Examination*: Math Ph.Sc. L.Sc. Geo. (For Students from W.B.B.S.E.)
Science: Math Geography/Social Science (For Students from C.B.S.E / I.C.S.E.)
Subjects Offered*: 1ST Language: BENGALI A (BNGA) 2ND Language: ENGLISH B (ENGB)
Elective Subjects*(Follow the Table Below) PUT THE CODEs for YOUR ELECTIVE SUBJECTS*
Group Subjects with CODEs for Science
A Physics (PHYS) or Nutrition (NUTN)
Compulsory Elective 1
B Chemistry (CHEM) or Geography (GEGR)
C Economics (ECON) Compulsory Elective 2 *
D Mathematics (MATH)
E Biological Science (BIOS) Compulsory Elective 3*
F Statistics (STAT)
Optional Elective
G Computer Science (COMS) or Modern Computer Application (COMA)
OR
H Artificial intelligence (ARTI)
One vocational subject IT & ITeS (ITEV) or Plumbing (PLBV) Vocational Subject
I
Present Address (WITH P.O., P.S., District & PIN CODE)*:
Permanent Address (WITH P.O., P.S., District & PIN CODE)*:
All information given above is correct and true to the best of our knowledge. We are responsible for any information that is
incorrect or false. The school will not be responsible for this.
Signature of the Student*
XI Science R.N
Fathers’ Signature * Mothers’ Signature *
Guardians’ Signature *
GENERAL INFORMATION OF STUDENT & GUARDIAN*
STUDENT*
1. Name of the Student as Per AADHAAR ( IN CAPITAL LETTER) :
2. Class : Sec.: RN:
3. BSP ID no.:
4. Mother Tongue of the Student:
5. Any Identification Mark of the Student (Please Specify) :
6. Whether BPL ( YES/NO): If YES ,BPL No.:
7. Ration Card No.:
8. Habitation or Locality(Address with any Landmark):
9. Block/Munc/Corp Name:
10. Panchayat Name or Ward No.
11. Bank Details: SB a/c. No.:
Bank Name:
Branch Name:
IFS Code:
GUARDIAN*
A. Guardian’s qualification(Post Graduate/Graduate /Under Graduate):
B. Annual Family Income:
C. Mobile No.:
D. WhatsApp No.:
