Xi Admn Internal Form

CRPF PUBLIC SCHOOL

CLASS –XI ADMISSION CONFIRMATION SLIP 2009-10 (For Non CRPF Category) Name _________________________________________ Admn. No. _____________________ Father’s Name __________________________________ Mother’s Name __________________________________ Father’s Office Address_______________________________________________________________________________ _______________________________________________________________________________ Office Telephone Nos. ____________________________ Mother’s Office Address( If Working) _______________________________________________________________________________ _______________________________________________________________________________ Office telephone Nos. ____________________________ Residential Address -______________________________________________________________________________ _______________________________________________________________________________ _ Residential Tel. Nos_______________________________________________________________ Mob. Nos. ________________________________Email ID_______________________ 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