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 :  Pick a date
Gender : Male    Female Category :
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 :