DASHPUR VIDYALAYA

MANDSAUR (M.P) 458001

Admission to Class XI

Year 2020-2021

(To be filled by both old and new candidates)

Data Submitted Successfully

	Sr. No:- Scholar No:-
Upload Photo *
Name of Pupil in full *
SSSM ID
Adhar Card No. *
Bank Account No.
Name Of Bank
Bank IFSC Code No.
Father's Full Name *
Mother's Full Name *
Occuption *
Address of Parent/Guardian *
Gender *	Male || Female
Phone No *
Date Of Birth *	--Select Day-- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 --Select Month-- jan feb mar april may june july aug sep oct nov dec --Select Year-- 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Blood Group
Mother tongue of pupil
Religion *
Caste *
SC/ST/OBC/Gen *
Name and adress of the school last attended *
Class Last Studied *
Class in which admission is sought *	(submit the mark-sheet of the last promotion along with S.L.C)
Roll No (Class X Board)*
Name of the previous board*
Name of th previous school*
Aggregate % in class X *
Subject Marks/Grades/Scored English Hindi Maths Gen. Science So. Science C.S. (if)
; Eligibility for different streams Tick Mark Your Preference Choice Of Streams in class XI CBSE Other Board Stream 1- Eng., Maths, Physics, Chemistry,C.S. 80% & Above 90% & Above Stream 2- Eng., Maths, Physics, Chemistry,Hindi 75% & Above 85% & Above Stream 3- Eng., Maths, Physics, Chemistry,P.E. 75% & Above 85% & Above Stream 4- Eng., Biology, Physics, Chemistry,C.S. 70% & Above 80% & Above Stream 5- Eng., Biology, Physics, Chemistry, Hindi 70% & Above 80% & Above Stream 6- Eng., Biology, Physics, Chemistry, P.E. 70% & Above 80% & Above Stream 7- Eng., Accountancy, Eco, B.S., Maths 75% & Above 80% & Above Stream 8- Eng., Accountancy, Eco, B.S., C.S. 75% & Above 80% & Above Stream 9- Eng., Accountancy, Eco, B.S., Hindi 60% & Above 70% & Above Stream 10- Eng., Accountancy, Eco, B.S., P.E. 60% & Above 70% & Above
Attach Birth Certificate
Attach 10th Class Marksheet *
Attach TC