SARDAR PATEL PUBLIC SCHOOL, MISROD, BHOPAL
Details for Class XI Registration: 2024 – 25 – All fields Compulsory
Fill the details in block letters.
Scholar No & Date of Admission
Name of Candidate
Mother’s Name
Father’s/Guardian’s Name
Sex Male [ ] Female [ ]
Caste (As per the caste certificate) General [ ] SC [ ] ST [ ] OBC [ ]
Religion Hindu / Muslim / Christen / Buddhism / Jain / Sikh
Handicapped (As per the certificate)
NA / Blind / Deaf / Handicapped / Dyslexic / Spastic
[Tick which is applicable]
Medium of Studies English
Subject 1 (Compulsory Language) (301) English Core
Subject 2 [Hindi (302)/ PE (048)/
Computer Science (083) / Maths(041) /Painting(049)
/Sanskrit Core (322)/Informatics Practice (065)]
Subject 3[Maths(041)/Biology(044)/
Accountancy(055) / History (027)]
Subject 4 [(Physics(042)/ B. Studies(054)/ Political
Science (028)]
Subject 5 [Chemistry (043) / Economics(030)]
Annual Income of the Family
Roll No.: Year:
Details of X Class / Equivalent Exam Passed
Exam: Board:
Date of Birth (As per the School’s record / X class
Mark list) (In figure (DD/MM/YY) / in words)
Only Child of Parents Yes No
Phone No.
Address
E – Mail Address
SSSMID No.
Aadhar No.
Bank:
Bank Name, IFSC Code & A/c No. Account No.
IFSC Code:
Note:–
1. Kindly attach following documents with this form.
1. Copy of Student Aadhar 2. Copy of Father Aadhar 3. Copy of Mother Aadhar
4. Copy of Student Samagra ID 5. Class X Marksheet 6. Digital Caste Certificate (If applicable)
7. Copy of Cheque/Passbook for bank details 8. Two passport size photograph
2. We hereby declare that the above information (including Student, Father’s & Mother’s name and Date of Birth) furnished in
the form is true to the best of our knowledge. I have thoroughly checked all the details as filled in for Registration of Class XI
Examination of my ward. I would not request for any change in the details filled in the Registration form of my ward. If any
mistake is detected before or after declaration of result I will solely be held responsible for the same.
Signature Signature Signature Signature
of Candidate of Father of Mother of Class Teacher
