ADARSH VIKAS VIDYALAYA
PATNA - 801105
REGISTRATION FORM
FOR ENROLLMENT IN CLASS XI 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 : Roll No.
(10th Board) :
Email Id : Aadhar No. :
Contact Address :
Exam passed : AISSE CISCE 10th Others
Board : CBSE ICSE NIOS BSEB Others
Choose Subject :
Science Stream Commerce Stream
1. English Core (301) 1. English Core (301)
2. Physics (042) 2. Economics(030)
3. Chemistry (043) 3. Business Studieas(054)
4. (i) Maths (041) 4. Accountancy (055)
   (ii) Biology (44) 5. Others
5. Others
Passing Year :