COUNCIL COPY / INSTITUTE COPY Sl. No.
X/RG/ 014530
WEST BENGAL STATE COUNCIL OF TECHNICAL AND VOCATIONAL EDUCATION AND SKILL DEVELOPMENT
(Under West Bengal Act XXVI of 2013)
[Vocatonal Educaton Division]
Karigori Bhavan, 5th Floor, Plot-B/7, Acton Area-III, Newtown, Rajarhat, Kolkata-700160
REGISTRATION FORM (FOR 10+2 LEVEL)
Registration Year : 2020 - 2021
Institute Code : 3400
Institute Name :
BARSUNDRA HIGH SCHOOL (H.S.)
1. Migration Details :
Type : NON-MIGRATING
Certificate No. :
2. Name of the Student in full (BLOCK LETTERS) [As recorded in the Madhyamik Certificate] :
SUPRIYA DAS
3. Address :
Line 1 : BRAJALALCHAK
Line 2 :
Line 3 :
District : PURBA MEDINIPUR Pincode : 721654
4a. Personal Information :
[Link] No. : 9564919875 [Link] :
[Link] : INDIAN [Link] : GEN
[Link] : HINDU [Link] Information : NONE
[Link] of Birth : 28/04/2002 [Link] : MALE
[Link] Status : Unmarried [Link] No :
4b. Kanyashree Information :
[Link] : No
[Link] no : [Link] :
4c. Family Information :
[Link]'s Name : SUVENDU DAS
[Link]'s Name : PARBATI DAS
[Link] Name :
[Link] with the Guardian : FATHER
[Link] Income of Family (in Rs.) : 45,000.00
[Link] the Candidate belongs to BPL : NO
Discipline : ET Group : ETCM
5. Subject Information : ClassXI ClassXII ClassXI ClassXII
First Language : BEN1 BEN2 Second Language : ENG1 ENG2
BVP1 + VP1 : FMTD CMNT BVP2 + VP2 : : FDWK VBIT
Academic Elective Paper I : MTH1 MTH2 Academic Elective Paper II : BSPC CHEM
Common Paper : EDCA ENST Optional Paper: PHYS
* Particulars of the Last Qualifying Examination :
Name of the Examination Authority : WEST BENGAL BOARD OF SECONDARY EDUCATION
Name of the Examination : MADHYAMIK
Year of Passing : 2019 Marksheet No. : M/040807
Marks Obtained in Madhyamik Pariksha (W.B.B.S.E) / Equivalent Examination :
First Language : 100 Marks / Grade : 60
Second Language : 100 Marks / Grade : 67
Third Subject : 100 Marks / Grade : 50
Fourth Subject : 100 Marks / Grade : 41
Fifth Subject : 100 Marks / Grade : 74
Sixth Subject : 100 Marks / Grade : 60
Seventh Subject : 100 Marks / Grade : 60
(For Migrating Student only : Original migration certificate,attested copies of admit card and mark sheet are to be attached)
* Other Details :
Date of Admission to 10+2 Level Course : 07/08/2020 Classs Roll Number : 01
Certified that (a) I am not a passed out student of H.S. course or its equivalent (b) I am not undergoing any full time course concurrently under any board / Council / University (c) The
particulars given above are correct.
Signature of the Candidate
This is to certify that the candidate whose details are presented in this Registration Form is a bonafide student of this Institution. He/She is not undergoing any course of study in this
Institution under WBCHSE / W.B. Madrasah Board or its equivalent. Therefore, he/she may be registered as a student of West Bengal State Council of Technical And Vocational
Education And Skill Development (VED) and a Registration Certificate in this regard may kindly be issued.
Date
Place
Signature of the Head of the Institution with Office Seal
Data submitted from: [Link] Generated on: 10/11/2020 [Link]PM
