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Student Registration Form

1. This document is a registration form for Santanu Bhunia to enroll in the 10+12 level vocational education program under the West Bengal State Council of Technical and Vocational Education and Skill Development. 2. It provides personal details of Santanu like address, date of birth, family details, educational qualifications from Madhyamik Pariksha exam. 3. The head of Barsundra High School certifies that Santanu is a bonafide student of the school and is not concurrently enrolled in any other full-time program. The registration form seeks the council's registration certificate for Santanu.

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Amalendu Sundar Mandal
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80 views1 page

Student Registration Form

1. This document is a registration form for Santanu Bhunia to enroll in the 10+12 level vocational education program under the West Bengal State Council of Technical and Vocational Education and Skill Development. 2. It provides personal details of Santanu like address, date of birth, family details, educational qualifications from Madhyamik Pariksha exam. 3. The head of Barsundra High School certifies that Santanu is a bonafide student of the school and is not concurrently enrolled in any other full-time program. The registration form seeks the council's registration certificate for Santanu.

Uploaded by

Amalendu Sundar Mandal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

COUNCIL COPY / INSTITUTE COPY Sl. No.

X/RG/ 021403
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] :
SANTANU BHUNIA

3. Address :
Line 1 : CHAKDIPA

Line 2 :

Line 3 :

District : PURBA MEDINIPUR Pincode : 721645

4a. Personal Information :


i.Mobile No. : 8458654565 ii.Email :

iii.Citizenship : INDIAN iv.Caste : GEN

v.Religion : HINDU vi.Other Information : NONE

vii.Date of Birth : 12/12/2000 viii.Gender : MALE

ix.Marital Status : Unmarried x.Aadhaar No :

4b. Kanyashree Information :


i.Kanyashree : No

ii.Enrollment no : iii.Status :

4c. Family Information :


i.Father's Name : HIMANGSHU BHUNIA

ii.Mother's Name : KAMALA BHUNIA

iii.Guardian Name :

iv.Relationship with the Guardian : FATHER

v.Annual Income of Family (in Rs.) : 48,000.00

vi.Whether 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 : 2016 Marksheet No. : S/404-8050
Marks Obtained in Madhyamik Pariksha (W.B.B.S.E) / Equivalent Examination :

First Language : 100 Marks / Grade : 45

Second Language : 100 Marks / Grade : 46

Third Subject : 100 Marks / Grade : 42

Fourth Subject : 100 Marks / Grade : 41

Fifth Subject : 100 Marks / Grade : 39

Sixth Subject : 100 Marks / Grade : 35

Seventh Subject : 100 Marks / Grade : 39


(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 : 11/08/2020 Classs Roll Number : 11

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: 103.127.61.108 Generated on: 10/11/2020 6:47:45PM

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