S.R.D.A.V PUBLIC SCHOOL,PURNEA.
CLASS XI(2021-22) Registration Form

Contact No.: 7461802804
Email *
Select Stream (PCM-A, PCB-B, Commerce-C) *
Name of Students (Do not write Mr./Miss/Shri/MRS.) (Capital letters) *
Mother's Name(Do not write Mr./Miss/Shri/MRS.) (Capital letters) *
Father's Name(Do not write Mr./Miss/Shri/MRS.) (Capital letters) *
Gender *
Date of Birth as per School record (DDMMYYYY) eg. 12072006 (Dont write any character like / , - , . ) *
Class X Appearing/ Passing Board (Previous Board) *
Previous School Name *
Percentage of Marks (Pre-Board Exam) (Eligibility(CBSE/ICSE Board): 1. For PCM/PCB Percentage must be greater than or equal to 70%) 2. For Commerce Percentage must be greater than or equal to 60%) (Eligibility(BSEB Board): 1. For PCM/PCB Percentage must be greater than or equal to 80%) 2. For Commerce Percentage must be greater than or equal to 70%) *
Mobile No. *
AADHAR (Compulsory)
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