FR.
AGNEL SCHOOL, NOIDA - 201307
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 : SOUMYA PAL
(In Block Letters )
2. G.R. No. : 4087 Class & Section : 11 - E Sex : Female
3. Date of Admission : 12/03/2012 Aadhar Card No. : 331267197143
4. Mother's Name : USHA PAL
(In Block Letters )
5. Father's Name : GANGARAM SINGH
(In Block Letters )
6. Mother's Mobile No : 9958274615
7. Father's Mobile No : 9953267233
8. Mother's EmailID : USHAENG2003@YAHOO.CO.IN
9. Father's EmailID : GANGARAMSINGH3742@GMAIL.COM
10. Religion : HINDU
11. Whether belongs to SC/ST/OBC/GENERAL : OBC
(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) :
13. Subjects offered
S.No. Subject Name Medium of Instruction
1. ENGLISH ENGLISH
2. BIOLOGY ENGLISH
3. IP ENGLISH
4. POLITICAL SCIENCE ENGLISH
5. GEOGRAPHY ENGLISH
6. ENGLISH
Additional Subject ,(if any)
14. Combined total annual income of parents : 900000
15. Class X CBSE Registration No (if appeared from CBSE) : 60255
16. Details of Class X or Equivalent
Roll No. : 21157657 Year Exam Passed : 2023
Board Name : CBSE Name of Exam : AISSCE
17. Is the Candidate only child of the parents (Yes / No) : NO
18. Does the candidate belong to Minority Community (Yes / No) : NO
Kindly Submit
1. A photocopy of Class X Mark Sheet.
2. The photograph should be high contrast with white background photograph. The name of student along with the
date of taking the photograph(photograph should have been taken on or after 1.4.2023) must be indicated on the
photograph.
3. Copy of Adhaar Card.
4. Copy of Caste Certificate in case applicable.
Signature of Father : Signature of Mother :
Signature of Student : Signature of Class Teacher :
