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St. George'S School: Class 11-C Year 2021-2022

This document contains a student information form for Rachna Jha of class 11-C at St. George's School in New Delhi for the 2021-2022 school year. It lists her personal details such as name, date of birth, parents' names and contact information, residential address, subjects enrolled in, and details of her class 10 exam. The form is signed by her parents and teacher to verify the provided information.

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Rachna Jha
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135 views2 pages

St. George'S School: Class 11-C Year 2021-2022

This document contains a student information form for Rachna Jha of class 11-C at St. George's School in New Delhi for the 2021-2022 school year. It lists her personal details such as name, date of birth, parents' names and contact information, residential address, subjects enrolled in, and details of her class 10 exam. The form is signed by her parents and teacher to verify the provided information.

Uploaded by

Rachna Jha
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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ST.

GEORGE'S SCHOOL
ALAKNANDA, NEW DELHI-110019

CLASS 11-C YEAR 2021-2022

1. SCHOOL ADMISSION NUMBER 8749

2. NAME OF THE CANDIDATE RACHNA JHA

3. DATE OF ADMISSION IN SCHOOL 11/02/2009

4. AADHAAR CARD NO.

5. GENDER (F/M) Female

6. DATE OF BIRTH IN WORDS First January Two Thousand Six

7. DATE OF BIRTH IN FIGURES 01/01/2006

8. MOTHER'S NAME USHA JHA MOBILE NO 9643659953


9. MOTHER'S E-MAIL ID

10. FATHER'S NAME ASHISH JHA MOBILE NO 9971941685

11. FATHER'S E-MAIL ID [email protected]

12. WHETHER SC/ST/OBC/GENERAL (if SC/ST/OBC write caste) NO


(Attach Certificate)

13. MINORITY

14. IF DISABLED WRITE


(B- Blind, C-Dyslexic, D- Deaf, S- Spastic, H- Handicapped ) (Attach Certificate)

15. TOTAL ANNUAL INCOME OF FATHER AND MOTHER

16. RESIDENTIAL ADDRESS RZ-390E GALI NO 21 TUGH EXTN N.D -19,NEW DELHI-110019

17. SUBJECTS WITH SUBJECT CODE:

1) English (301)_____________________________ 8) Political Science (028)_______________________

2) Math (041)_____________________________ 9) Economics (030)___________________________

3) Physics (042)_____________________________ 10) Business Studies (054)______________________

4) Chemistry (043)____________________________ 11) Accounts (055)____________________________

5) Biology (044)_____________________________ 12) Informatics practices (065)__________________

6) Computer Science (083)______________________ 13) Physical Education (048)____________________

7) History (027)_____________________________

18. DETAILS OF THE SECONDARY/EQUIVALENT EXAM PASSED (CLASS X):

1) Roll No. 2) Year 2020 3) Exam: 4) Board: CBSE


19. ONLY CHILD

20. ONLY GIRL CHILD

21. FEE TO BE PAID (Rs.) 2021


22. YEAR OF PASSING

23. Bank Acc. NO. IFSC Code

The information given above has been thoroughly checked and found correct.

Father's Signature Mother's Signature Candidate's Signature

Date :18/08/2021
Counter checked by class teacher

Name and Signature of class teacher

Note:- Please attach a Photostat of the class X certificate. Please fill the form with diligence and care in block words only. All the details
need to be accurate. Submit without delay.

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