CRPF PUBLIC SCHOOL SECTOR XIV ROHINI NEW DELHI-110085
CLASS –XI ADMISSION CONFIRMATION SLIP 2009-10 (For CRPF Wards ) Category- GO SO OR Name _________________________________________ Admn. No. _____________________ Father’s Name ______________________ Mother’s Name _____________________________ Father Mother Present Rank/Category____________________________ _____________________________ Force No./ IRLA No. ____________________________ _____________________________ Serving Unit /BN ____________________________ _____________________________ Present Office Address ____________________________ _____________________________ ___________________________ _____________________________ Office Tel. No. _____________________________ _____________________________ Mobile . Nos. _____________________________ _____________________________ Email ID _____________________________ _____________________________ Date of Retirement if sought. _______________________ _____________________________ Residential Address _______________________________________________________________________________ _______________________________________________________________________________ Residence Tel. Nos. /Mob. No. ____________________________________________________ Marks Obtained in Board Exam: Total ________________________ Agg.% ______________ Eng. __________ Maths _____________ Science ___________ Stream Opted – Please encircle ( ) the appropriate stream and tick ( ) the optional subject. Stream A
SCIENCE (Eng, Maths, Phy, Chem) with Biology/Biotechnology/ Compt. Science
Stream B
COMMERCE with Maths
Stream C
HUMANITIES (Eng, Geog, Pol Sc, Hist) with Psy/ Hindi/ IP/ Fst/ H.Sc
1st installment of School Fee Deposited:
Yes / No
In case student has not deposited the fee , Kindly deposit fee of Rs. ____________ by 5th June 2009. Admission shall be treated as cancelled if stream is not confirmed and fee is not deposited on due date. Student’s Signature with date
Parents Signature with Name
Stream Allotted________________________________________________( For office use only) Teacher I/C Signature with date