ADARSH VIKAS VIDYALAYA
PATNA - 801105
REGISTRATION FORM
FOR ENROLLMENT IN CLASS IX th, SESSION 2017-2018
Student Name :
*
Father's Name :
*
Mother's Name :
D.O.B :
Gender :
Male
Female
Category :
--Select--
GEN
SC
ST
OBC
Father's Contact :
*
Mother's Contact :
Annual Income of Parents :
Email Id :
Aadhar No. :
Contact Address :
Only Child Of The Parents :
YES
NO
Do You Belong to "
MINORITY
" :
YES
NO
Choose Subject :
101 English Comm
085 Hindi Course - B
041 Mathematics
086 Science with Prac.
087 Social Science
165 Foundation
Attach: Photostat copy of Caste Certificate for SC / ST / OBC :