Standard Robarth Higher Secondary School
REGISTRATION FORM CLASS XI (SCIENCE)
Email *
Mobile number *
What app number for online classes.
Name of the student: *
(Full name in BLOCK/CAPITAL LETTERS and should tally with those given in the HSLC Exam. Admit Card)
Date of Birth: *
MM
/
DD
/
YYYY
Nationality:
Religion:
Category : *
Required
Sex: *
Required
Aadhaar number *
Subjects offered in the School: English , Physics, Chemistry, Biology, Mathematics, Computer Science, Home Science, Alternative English, Manipuri (MM). *
Subject Combinations:(Choose your subject combination and put a tick mark in the appropriate box) Note: Home Science is only for girls and it’s optional subject once choosen cannot be changed later.
Required
MIL: (Choose your offer subject and put a tick mark in the appropriate box) *
Elective offered in H.S.L.C. Examination .
Required
Name of the Previous School: *
(Name of the Board )
Marks obtained in the last Examination :
01. English: *
02. Manipuri (MM) *
03. Science *
04. Social Science *
05. Mathematics *
06. Addl. Subject *
Roll number for H.S.L.C. examination *
Division *
Father’s Name : Occupation : Mobile Number : *
(Full in BLOCK / CAPITAL LETTERS and should tally with those given in the HSLC Exam. Admit Card)
Mother’s Name : Occupation : Mobile Number : *
(Full in BLOCK / CAPITAL LETTERS and should tally with those given in the HSLC Exam. Admit Card)
Permanent Address : *
Pin Number, Post Office, Police Station, District
Present Address :
Pin Number, Post Office, Police Station, District
Name of the local guardian :
Address : Mobile Number:
DECLARATION BY THE CANDIDATE
I hereby solemnly declare that all the statements made above in this registration form are true, complete and correct to the best of my knowledge and belief, I shall hold myself responsible for any eventuality thereof .
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