ಕೇಂದ್ರ ೀಯ ವಿದ್ಯಾ ಲಯ ಮಲ್ಲ ೀಶ್ವ ರಂ ಬೇಂಗಳೂರು 55

कें द्रीय विद्यालय मले्लश्वरम , बेंगलूरु 55

KENDRIYA VIDYALAYA MALLESWARAM, BENGALURU – 55 कक्षा 11 के प्रवेश हते ुपंजीकरण 2020-21

REGISTRATION FOR ADMISSION TO CLASS XI (2020 –21) (केवल के.वव.मल्लशे्वरम छात्रों के वलए ) ( ONLY FOR KV MALLESWARAM STUDENTS ) LAST DATE:22.07.2020

पंजीकरण स/ंREGN. NO: ________ FILL & SCAN APPLN FORM -SEND TO: kvmb admissions@gmail.com

1. छात्र का नाम NAME OF THE STUDENT (IN CAPITAL LETTERS)

2. जन्म वतवि DATE OF BIRTH:

3. माता/वपता के वववरण DETAILS OF MOTHER/FATHER FATHER MOTHER

नाम a ) NAME

ववभाग एव ंकार्ाालर् का नाम

b) DEPARTMENT & OFFICE ADDRESS CATEGORY I/ II/ III/ IV/ V

दरूभाष सcं) MOBILE /LAND LINE /WHATSAPP NO.

वनवासस्िान का पता d) RESIDENTIAL ADDRESS

ई मले E- MAIL ID OF PARENT :

4. प्रवशे सं ADMISSION NUMBER :

5 उत्तीणा परीक्षा/वषा EXAMINATION PASSED & THE YEAR YEAR :_________________ BOARD ROLL NO:__________________

6. एस.जी.एफआई/के.वव.स ंराष्ट्र्सस्तर/राज्र्/स्काउट/गाइड/ में सहभावगता

PARTICIPATION IN SGFI/ KVS NATIONAL/STATE/SCOUTS & GUIDES/NCC

7. एस.सी/एस.टी/ओ बी सी /पी एच SC/ST/OBC/ PH

8 ससगंल गला चाइल्ड

SINGLE GIRL CHILD

YES/NO आधार स ं

9. AADHAR NUMBER

10. रक्त समूह BLOOD GROUP

प्राप्ााँक में छूट 11. CONCESSION MARKS (refer table 14 below)

12.प्राप्ाकं का वववरण DETAILS OF MARKS OBTAINED :

MATHS (OUT OF 100)

SCIENCE (OUT OF 100)

TOTAL MATHS & SCIENCE (OUT OF 200)

GRAND TOTAL

(OUT OF 500)*

OVERALL PERCENTAGE

13. र्ोग्र्तानसुार पठ्यक्रम का चार्न COURSE TO BE OFFERED BY GIVING YOUR ORDER OF PREFERENCE AS PER THE ELIGIBILITY:

COMBINATION AVAILABLE : SCIENCE STREAM : ( A minimum of 60 % Marks in aggregate of all subjects )

1. PCMB 2. PCMC 3. PCB Hindi/Sanskrit COMMERCE STREAM : ( A minimum of 55 % Marks in aggregate of all subjects )

1. COMMERCE with Maths/ IP/Hindi/Sanskrit ( for IP minimum 15 students should be

registered)

ORDER OF PREFERENCE : (write the course of your choice in order)

1.

2.

3.

14.छूट CONCESSION :

( A )The following concession will be granted to students for admission who participated in Games & Sports meet/Scouting & Guiding/NCC/Adventure activities at various levels. The certificate needed for this purpose can be of any of the preceding years.

Signature of the applicant: Signature of Parent:

Date:

NOTE: 1. Students who have secured 60 % above may opt Science Stream or Commerce Stream.

(SELECTED CANDIDATES WILL BE INFORMED THROUGH THEIR E-MAIL / WHATSAPP MOB.NO.)

2. * - Include English, Hindi/ Sanskrit, Maths, Science, Social science

3. Students opted Basic maths not eligible to opt maths

S.

No.

Sports &

Games

NCC Scouting/ Guiding Adventure

Activities

Concession of

marks for

admission

a. Participation at

SGFI or

equivalent level.

‘A’ certificate and

participation in

Republic/PM Rally

Rashtrapati Puraskar

award certificate

NIL 6 % Marks in

aggregate

b. Participation at

KVS National/

State level

‘A’ certificate and best

Cadet in Distt/State

level

Rajya Puruskar award

certificate with 07

proficiency badges

NIL 4 % Marks in

aggregate

c. Participation at

KVS Regional/

District Level

‘A’ certificate Tritiya Sopan

certificate with 05

proficiency badges

Participation in at

least one 10-days

adventure activity

2 % Marks in

aggregate

(B) Students belonging to SC/ST/OBC/Divyang(PH) would be given up-gradation in aggregate by 4% Marks for the

purpose of admission to class XI.