JHARKHAND ACADEMIC COUNCIL, RANCHI
STUDENT INFORMATION SHEET FOR CLASS XI EXAMINATION, year 2025
(Duly filled in form is to be submitted to the Institution by the Student for Online Exam Form Submission)
(For EX-regular / marginal Candidate only)
(To be filled using black ball point pen only)
Code & Name of Institution :
1. Last Class XI Examination Appearing Details :
roll code : roll No. : year : 2 0
Registration Session : 2022-2024 / 2023-2025
Registration No. : - - -
2. Name of the Student :
3. Father’s Name :
4. Mother’s Name :
5. Student Aadhar No. :
6. Date of Birth : date month year
7. Permanent Address :
8. State :
9. District :
10. Block :
11. Pin Code :
12. Student Contact No. :
13. E-mail ID :
14. Section :
15. Class Roll No. :
Space for Student’s Photograph Space for Student’s Signature
Signature of Father / Mother
(For Institution use only)
System Generated UID No. : ___________________________________ Entered By : ___________________________________
Note :
1. In column no. 1, 2, 3, 4 to be filled / ticked should match exactly with the one appearing in your Registration / Admission Card.
2. Change of any details is not allowed. For modification in details please contact the Council.
3. In column no. 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 fill details (as applicable).
4. Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.
5. Submission of copy of Registration Card / Admission Card of Class XI Examination whose details is mentioned above is mandatory.
6. Get printed copy of your checklist from school and look at your details very carefully. Inform HM immediately if there is any mistake.
7. No correction will be allowed once exam form is submitted online.